| Quickdoc, Pa | |
|
6136 Bandera Rd Ste 101 San Antonio TX 78238-1642 | |
| (210) 593-4000 | |
| (210) 593-4003 |
| Full Name | Quickdoc, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 6136 Bandera Rd Ste 101, San Antonio, Texas |
| Authorized Official Name and Position | Roger M Moczygemba (OWNER) |
| Authorized Official Contact | 2105934000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quickdoc, Pa 6136 Bandera Rd Ste 101 San Antonio TX 78238-1642 Ph: (210) 593-4000 | Quickdoc, Pa 6136 Bandera Rd Ste 101 San Antonio TX 78238-1642 Ph: (210) 593-4000 |
| NPI Number | 1356767958 |
|---|---|
| Provider Enumeration Date | 03/07/2014 |
| Last Update Date | 02/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356767958 | NPI | - | NPPES |
| J2212 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J2212 (Texas) | Primary |
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