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Organization
PROACTIVE UMS, INC
Active
Organization
PROACTIVE UMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY RAUL MANZANO MATOS (CHIEF EXECUTIVE OFFICER)
(832) 705-2204
Entity
Organization
Contact information
Practice address
8103 BANDERA RD STE 102, SAN ANTONIO, TX 78250-5185
(210) 500-2914
Mailing address
3712 VISTA CHASE CT, ARLINGTON, TX 76001-6961
(832) 705-2204
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/29/2026
Last updated
09/29/2026
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