Proactive Md Tx Professional Corporation | |
2222 W Malone Ave San Antonio TX 78225-2022 | |
(210) 660-4646 | |
Not Available |
Full Name | Proactive Md Tx Professional Corporation |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 2222 W Malone Ave, San Antonio, Texas |
Authorized Official Name and Position | Jan Maria Hopkins (DIRECTOR OF ADMINISTRATIVE SERVICES) |
Authorized Official Contact | 8645010751 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Proactive Md Tx Professional Corporation 124 Allawood Ct Simpsonville SC 29681-6207 Ph: (864) 501-0751 | Proactive Md Tx Professional Corporation 2222 W Malone Ave San Antonio TX 78225-2022 Ph: (210) 660-4646 |
NPI Number | 1245013192 |
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Provider Enumeration Date | 08/15/2023 |
Last Update Date | 08/15/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245013192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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