| Linda I Alfonso Md Pa | |
|
10515 Sh 151 Ste 240 San Antonio TX 78251-4409 | |
| (210) 393-3812 | |
| Not Available |
| Full Name | Linda I Alfonso Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 10515 Sh 151 Ste 240, San Antonio, Texas |
| Authorized Official Name and Position | Amy Dehaven (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2106159990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda I Alfonso Md Pa Po Box 2205 San Antonio TX 78298-2205 Ph: () - | Linda I Alfonso Md Pa 10515 Sh 151 Ste 240 San Antonio TX 78251-4409 Ph: (210) 393-3812 |
| NPI Number | 1912170838 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 04/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912170838 | NPI | - | NPPES |
| M5020 | Other | TX | LISCENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M5020 (Texas) | Primary |
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