# PREMIER PROVIDERS MEDCLINIC, PLLC

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

## Provider details

- **NPI number:** 1588294300
- **Authorized official:** SNODA ALAHMAD DNP, AGPCNP-BC (OWNER)
- **Authorized official phone:** (210) 481-4455

## Contact information

- **Practice address:** 9130 WURZBACH RD STE 102, SAN ANTONIO, TX 78240-1070
- **Practice address phone:** (210) 481-4455
- **Practice address fax:** (210) 481-4456
- **Mailing address:** 9130 WURZBACH RD STE 102, SAN ANTONIO, TX 78240-1070
- **Mailing address phone:** (210) 481-4455
- **Mailing address fax:** (210) 481-4456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/21/2020
- **Last updated:** 09/23/2020