| Mission Medical Group | |
|
426 Castroville Rd Ste 3 San Antonio TX 78207 | |
| (877) 664-7201 | |
| (800) 218-7489 |
| Full Name | Mission Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 426 Castroville Rd Ste 3, San Antonio, Texas |
| Authorized Official Name and Position | Ughwanmwan T Efeovbokhan (SOLE MEMBER) |
| Authorized Official Contact | 2109089358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Medical Group 11631 Camp Real Ln San Antonio TX 78253-6331 Ph: (210) 908-9358 | Mission Medical Group 426 Castroville Rd Ste 3 San Antonio TX 78207 Ph: (877) 664-7201 |
| NPI Number | 1245720911 |
|---|---|
| Provider Enumeration Date | 05/17/2018 |
| Last Update Date | 06/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245720911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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