Antonio Alfaro, B.S.; B.H.R.S.; C.C.

Individual provider Active NPI Case Manager/Care Coordinator · Altus, OK

NPI 1487915898 · NPPES record last updated Aug 2, 2012

Key facts

NPI
1487915898
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1313 N Forrest St
Altus, OK 73521-2734
Phone
(580) 318-3730
NPI assigned
Jun 1, 2012
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1313 N Forrest St
Altus, OK 73521-2734

Mailing address

1117 S Baucum St
Altus, OK 73521-6607
Phone (580) 318-3730

Other providers in Altus, OK

All providers in Altus, OK · Case Manager/Care Coordinator in Oklahoma

Sources for this page

Verify at the official NPI Registry.