Provider Demographics
NPI:1720131022
Name:ALAMO UROLOGY ASSOC.,P.A.
Entity Type:Organization
Organization Name:ALAMO UROLOGY ASSOC.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-590-1018
Mailing Address - Street 1:3338 OAKWELL CT
Mailing Address - Street 2:SUITE 216
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-3086
Mailing Address - Country:US
Mailing Address - Phone:210-590-1018
Mailing Address - Fax:210-653-0873
Practice Address - Street 1:3338 OAKWELL COURT
Practice Address - Street 2:SUITE 216
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218
Practice Address - Country:US
Practice Address - Phone:210-590-1018
Practice Address - Fax:210-653-0873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE83292088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric UrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX083410301Medicaid
TX00K08JMedicare ID - Type Unspecified
TX083410301Medicaid