Provider Demographics
NPI:1205352366
Name:ALEMU MEDICAL HOME, PLLC
Entity type:Organization
Organization Name:ALEMU MEDICAL HOME, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BENYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEMU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-351-5066
Mailing Address - Street 1:790 GENERATIONS DR STE 205
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-0087
Mailing Address - Country:US
Mailing Address - Phone:830-351-5066
Mailing Address - Fax:830-351-5460
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:830-351-5066
Practice Address - Fax:830-351-5460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-20
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty