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Organization
QUICKDOC, PA
Active
Organization
QUICKDOC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER M MOCZYGEMBA MD (OWNER)
(210) 593-4000
Entity
Organization
Contact information
Practice address
6136 BANDERA RD STE 101, SAN ANTONIO, TX 78238-1642
(210) 593-4000
(210) 593-4003
Mailing address
6136 BANDERA RD STE 101, SAN ANTONIO, TX 78238-1642
(210) 593-4000
(210) 593-4003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J2212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J2212
LICENSE
TX
Enumeration date
03/07/2014
Last updated
02/08/2017
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