Provider Demographics
NPI:1023488624
Name:ALAMO WOMEN'S REPRODUCTIVE SERVICES, PLLC
Entity type:Organization
Organization Name:ALAMO WOMEN'S REPRODUCTIVE SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BRAID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-614-4742
Mailing Address - Street 1:7402 JOHN SMITH
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4588
Mailing Address - Country:US
Mailing Address - Phone:210-614-4742
Mailing Address - Fax:210-614-2633
Practice Address - Street 1:7402 JOHN SMITH
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4588
Practice Address - Country:US
Practice Address - Phone:210-614-4742
Practice Address - Fax:210-614-2633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-25
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE3654OtherMEDICAL LICENSE
TXE6484OtherMEDICAL LICENSE
TXE9513OtherMEDICAL LICENSE
TXG6650OtherMEDICAL LICENSE