| Vidamor Medical | |
|
107 Reed Rd Boerne TX 78006-8605 | |
| (210) 393-2111 | |
| Not Available |
| Full Name | Vidamor Medical |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 107 Reed Rd, Boerne, Texas |
| Authorized Official Name and Position | Andres Ibarra (SECRETARY) |
| Authorized Official Contact | 8302821544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vidamor Medical 107 Reed Rd Boerne TX 78006-8605 Ph: (830) 282-1544 | Vidamor Medical 107 Reed Rd Boerne TX 78006-8605 Ph: (210) 393-2111 |
| NPI Number | 1992314744 |
|---|---|
| Provider Enumeration Date | 07/28/2020 |
| Last Update Date | 11/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992314744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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