Magoon Private Clinic, Pllc | |
6104 Broadway Ste C-1 Alamo Heights TX 78209-4553 | |
(210) 756-0800 | |
(210) 756-0900 |
Full Name | Magoon Private Clinic, Pllc |
---|---|
Speciality | General Practice |
Location | 6104 Broadway Ste C-1, Alamo Heights, Texas |
Authorized Official Name and Position | Michael Magoon (OWNER) |
Authorized Official Contact | 2108626064 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Magoon Private Clinic, Pllc 8107 Princess Ct San Antonio TX 78209-2253 Ph: (210) 862-6064 | Magoon Private Clinic, Pllc 6104 Broadway Ste C-1 Alamo Heights TX 78209-4553 Ph: (210) 756-0800 |
NPI Number | 1669291845 |
---|---|
Provider Enumeration Date | 10/07/2024 |
Last Update Date | 10/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669291845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |