Alamo Maxillofacial Surgical Associates, Pa

LBN: Alamo Maxillofacial Surgical Associates, Pa
Alamo Maxillofacial Surgical Associates, Pa is an health care organization with primary practice located at 4499 Medical Dr Suite #190, San Antonio TX 78229-3735. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Alamo Maxillofacial Surgical Associates, Pa can be contacted via phone (210) 614-3915, or through Shy, Kelly Ann via phone (210) 614-3915.

Contact Information

Primary practice address
4499 Medical Dr Suite #190 San Antonio TX 78229-3735
Phone: (210) 614-3915
Fax: (210) 614-3918
Website:
Map and Directions
Authorized official contact:
Name: Shy, Kelly Ann MHSM
Phone: (210) 614-3915

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1417006065
LBN Legal business name Alamo Maxillofacial Surgical Associates, Pa
DBA Doing business as
Authorized official Shy, Kelly Ann MHSM
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Apr 25th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417006065 NPPES
Texas Other 0014AW MEDICARE
Texas MEDICAID 079997501 MEDICARE

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