Provider Demographics
NPI:1265965164
Name:ALLCARE MEDICAL, PLLC
Entity type:Organization
Organization Name:ALLCARE MEDICAL, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:C
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:210-980-0796
Mailing Address - Street 1:8302 W HAUSMAN RD
Mailing Address - Street 2:1026
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3702
Mailing Address - Country:US
Mailing Address - Phone:210-980-0796
Mailing Address - Fax:
Practice Address - Street 1:8302 W HAUSMAN RD
Practice Address - Street 2:1026
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3702
Practice Address - Country:US
Practice Address - Phone:210-980-0796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center