Provider Demographics
NPI:1336183193
Name:ALAMO DERMATOLOGY ASSOCIATES, P.A
Entity Type:Organization
Organization Name:ALAMO DERMATOLOGY ASSOCIATES, P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:OCHS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-493-1568
Mailing Address - Street 1:14855 BLANCO RD
Mailing Address - Street 2:STE 216
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-7732
Mailing Address - Country:US
Mailing Address - Phone:210-493-1568
Mailing Address - Fax:210-493-8345
Practice Address - Street 1:14855 BLANCO RD
Practice Address - Street 2:STE 216
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-7732
Practice Address - Country:US
Practice Address - Phone:210-493-1568
Practice Address - Fax:210-493-8345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0060BDMedicare ID - Type UnspecifiedMEDICARE NUMBER