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Organization
RIVERWALK CLINIC, LLC
Active
Organization
RIVERWALK CLINIC, LLC
Active
Other names
Alamo City Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TOM FOGARTY MD (OWNER)
(972) 364-8000
Entity
Organization
Contact information
Practice address
1045 CENTRAL PARKWAY NORTH, SUITE 200, SAN ANTONIO, TX 78232-5024
(210) 272-1741
(210) 272-1747
Mailing address
5080 SPECTRUM DR, SUITE 1200 WEST TOWER, ADDISON, TX 75001-4648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
J3984
TX
261QU0200X
Urgent Care Clinic/Center
Primary
J3984
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199345301
—
TX
Enumeration date
04/09/2007
Last updated
06/12/2013
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