Fiallo, Alfredo J.

Fiallo, Alfredo J. is an individual health care provider with primary practice located at 400 Baltimore , San Antonio TX 78215-1919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fiallo, Alfredo J. can be contacted via phone (210) 228-0743.

Contact Information

Primary practice address
400 Baltimore San Antonio TX 78215-1919
Phone: (210) 228-0743
Fax: (210) 228-9749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X H6815 Texas

Profile Details

NPI number 1417931031
LBN Legal business name Fiallo, Alfredo J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Nov 8th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417931031 NPPES
Texas MEDICAID 118942503
Texas Other 390004412

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