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Organization
GREATER MEDICAL MISSION GROUP PLLC
Active
Organization
GREATER MEDICAL MISSION GROUP PLLC
Active
Other names
Mission Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
UGHWANMWAN T EFEOVBOKHAN GNP-BC (SOLE MEMBER)
(210) 908-9358
Entity
Organization
Contact information
Practice address
426 CASTROVILLE RD STE 3, SAN ANTONIO, TX 78207
(877) 664-7201
(800) 218-7489
Mailing address
11631 CAMP REAL LN, SAN ANTONIO, TX 78253-6331
(210) 908-9358
(210) 239-5921
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
06/13/2018
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