Provider Demographics
NPI:1740613389
Name:ALAMO INFUSIONS ETC.,LLC
Entity Type:Organization
Organization Name:ALAMO INFUSIONS ETC.,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:KUTZA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-426-2279
Mailing Address - Street 1:9302 SHINING STAR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78239-2334
Mailing Address - Country:US
Mailing Address - Phone:210-426-2279
Mailing Address - Fax:
Practice Address - Street 1:9302 SHINING STAR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78239-2334
Practice Address - Country:US
Practice Address - Phone:210-426-2279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-19
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No251E00000XAgenciesHome Health