| 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 |
Elevated Medical Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 204 E Fair Oaks Pl, Alamo Heights, TX 78209 Phone: 210-315-4601 |