Provider Demographics
NPI:1821606062
Name:ALAMO CITY HEALTHY KIDS AND FAMILIES, PLLC
Entity Type:Organization
Organization Name:ALAMO CITY HEALTHY KIDS AND FAMILIES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:CUDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-885-8546
Mailing Address - Street 1:1919 OAKWELL FARMS PKWY STE 125
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-1720
Mailing Address - Country:US
Mailing Address - Phone:210-885-8546
Mailing Address - Fax:210-653-5002
Practice Address - Street 1:1919 OAKWELL FARMS PKWY STE 125
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-1720
Practice Address - Country:US
Practice Address - Phone:210-885-8546
Practice Address - Fax:210-653-5002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty