# MAGOON PRIVATE CLINIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alamo Private Clinic, PLLC, Alamo Private Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669291845
- **Authorized official:** DR. MICHAEL MAGOON MD (OWNER)
- **Authorized official phone:** (210) 862-6064

## Contact information

- **Practice address:** 6104 BROADWAY STE C-1, ALAMO HEIGHTS, TX 78209-4553
- **Practice address phone:** (210) 756-0800
- **Practice address fax:** (210) 756-0900
- **Mailing address:** 8107 PRINCESS CT, SAN ANTONIO, TX 78209-2253
- **Mailing address phone:** (210) 862-6064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2024
- **Last updated:** 10/07/2024