Provider Demographics
NPI:1043047103
Name:ALAMO HEIGHTS MIND AND WELLNESS CENTER PLLC
Entity type:Organization
Organization Name:ALAMO HEIGHTS MIND AND WELLNESS CENTER PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY HO
Authorized Official - Middle Name:
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:210-676-5940
Mailing Address - Street 1:1428 BUCKNER PL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-4216
Mailing Address - Country:US
Mailing Address - Phone:210-676-5940
Mailing Address - Fax:
Practice Address - Street 1:790 GENERATIONS DR STE 205
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-0087
Practice Address - Country:US
Practice Address - Phone:210-240-5217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-13
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty