Provider Demographics
NPI:1710940150
Name:ALAMO RESPIRATORY SERVICES, INC.
Entity Type:Organization
Organization Name:ALAMO RESPIRATORY SERVICES, INC.
Other - Org Name:ALAMO RESPIRATORY SERVICES, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-340-0202
Mailing Address - Street 1:2128 BABCOCK RD., BLDG. 2
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4411
Mailing Address - Country:US
Mailing Address - Phone:210-340-0202
Mailing Address - Fax:210-340-0705
Practice Address - Street 1:2128 BABCOCK RD., BLDG. 2
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4411
Practice Address - Country:US
Practice Address - Phone:210-340-0202
Practice Address - Fax:210-340-0705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-07
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0039756332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0915753-03Medicaid
TX0168445-01Medicaid
1110190001Medicare NSC