Provider Demographics
NPI:1669668117
Name:ALAMO HEIGHTS INTERNAL MEDICINE, PA
Entity type:Organization
Organization Name:ALAMO HEIGHTS INTERNAL MEDICINE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GUILFORD
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-930-7908
Mailing Address - Street 1:5150 BROADWAY ST
Mailing Address - Street 2:SUITE 610
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-5710
Mailing Address - Country:US
Mailing Address - Phone:210-930-7908
Mailing Address - Fax:210-822-9331
Practice Address - Street 1:5150 BROADWAY ST
Practice Address - Street 2:SUITE 610
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-5710
Practice Address - Country:US
Practice Address - Phone:210-930-7908
Practice Address - Fax:210-822-9331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2010-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7577207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC21159Medicare UPIN