Provider Demographics
NPI:1447704713
Name:ALAMILLO FAMILY PRACTICE PLLC
Entity type:Organization
Organization Name:ALAMILLO FAMILY PRACTICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT-CERTIFIED
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MARTINEZ-ALAMILLO
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:210-313-6381
Mailing Address - Street 1:740 OLD PIONEER RD
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-5915
Mailing Address - Country:US
Mailing Address - Phone:210-313-6381
Mailing Address - Fax:
Practice Address - Street 1:1975 N VETERANS BLVD
Practice Address - Street 2:SUITE 6
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-6114
Practice Address - Country:US
Practice Address - Phone:830-758-1633
Practice Address - Fax:830-773-6989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-04
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care