Img Clinic Pllc | |
11924 Vance Jackson Rd Ste 104 San Antonio TX 78230-1459 | |
(313) 314-0617 | |
Not Available |
Full Name | Img Clinic Pllc |
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Speciality | Family Medicine |
Location | 11924 Vance Jackson Rd Ste 104, San Antonio, Texas |
Authorized Official Name and Position | Michael Mcmahan (MEDICAL DIRECTOR) |
Authorized Official Contact | 4057602018 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Img Clinic Pllc 610 W 11th St Traverse City MI 49684-3150 Ph: (313) 314-0617 | Img Clinic Pllc 11924 Vance Jackson Rd Ste 104 San Antonio TX 78230-1459 Ph: (313) 314-0617 |
NPI Number | 1386399368 |
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Provider Enumeration Date | 02/17/2022 |
Last Update Date | 02/17/2022 |
Identifier | Type | State | Issuer |
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1386399368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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