Provider Demographics
NPI:1932307733
Name:ALAMO AREA HEART RHYTHM CONSULTANTS, PLLC
Entity Type:Organization
Organization Name:ALAMO AREA HEART RHYTHM CONSULTANTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:FENTON
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:210-656-8800
Mailing Address - Street 1:2455 NE LOOP 410
Mailing Address - Street 2:SUITE 242
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5649
Mailing Address - Country:US
Mailing Address - Phone:210-656-8800
Mailing Address - Fax:
Practice Address - Street 1:2455 NE LOOP 410
Practice Address - Street 2:SUITE 242
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-5649
Practice Address - Country:US
Practice Address - Phone:210-656-8800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1571207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX188119501Medicaid
TX0058PXOtherBCBS TX
TX00Y154Medicare PIN