| Alamo Wellness Alliance | |
|
12501 Judson Rd Suite 202 Live Oak TX 78233-4103 | |
| (210) 599-4086 | |
| Not Available |
| Full Name | Alamo Wellness Alliance |
|---|---|
| Speciality | Internal Medicine |
| Location | 12501 Judson Rd, Live Oak, Texas |
| Authorized Official Name and Position | Huyen Thi Nguyen (PRESIDENT) |
| Authorized Official Contact | 2105994086 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alamo Wellness Alliance 12501 Judson Rd Suite 202 Live Oak TX 78233-4103 Ph: (210) 599-4086 | Alamo Wellness Alliance 12501 Judson Rd Suite 202 Live Oak TX 78233-4103 Ph: (210) 599-4086 |
| NPI Number | 1760671440 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 05/29/2012 |
| Medicare PECOS PAC ID | 6406019728 |
|---|---|
| Medicare Enrollment ID | O20120524000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760671440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J9241 (Texas) | Primary |
| Provider Name | Huyen Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629167929 PECOS PAC ID: 8224122866 Enrollment ID: I20070913000518 |
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