# PROACTIVE UMS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578477469
- **Authorized official:** ANDY RAUL MANZANO MATOS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (832) 705-2204

## Contact information

- **Practice address:** 8103 BANDERA RD STE 102, SAN ANTONIO, TX 78250-5185
- **Practice address phone:** (210) 500-2914
- **Mailing address:** 3712 VISTA CHASE CT, ARLINGTON, TX 76001-6961
- **Mailing address phone:** (832) 705-2204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2026
- **Last updated:** 09/29/2026