Provider Demographics
NPI:1881195501
Name:ALAMO SURGICAL ASSSISTING LLC
Entity Type:Organization
Organization Name:ALAMO SURGICAL ASSSISTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SA-C
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:SAENZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:210-954-1269
Mailing Address - Street 1:7302 WILDER ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-3528
Mailing Address - Country:US
Mailing Address - Phone:210-954-1269
Mailing Address - Fax:
Practice Address - Street 1:7302 WILDER ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-3528
Practice Address - Country:US
Practice Address - Phone:210-954-1269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty