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Organization
TEXAS HEALTHNET MEDICAL CLINIC LTD.
Active
Organization
TEXAS HEALTHNET MEDICAL CLINIC LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE REYES MD (OWNER)
(210) 877-0772
Entity
Organization
Contact information
Practice address
12730 W IH 10, SUITE 306, SAN ANTONIO, TX 78230-1003
(210) 877-0772
(210) 877-0785
Mailing address
PO BOX 806, SAN ANTONIO, TX 78293-0806
(210) 877-0772
(210) 877-0785
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H6540
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140228133
—
TX
Enumeration date
12/01/2006
Last updated
04/30/2008
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