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Organization
TEXAS HEALTHNET MEDICAL CLINIC LTD.
Active
Organization
TEXAS HEALTHNET MEDICAL CLINIC LTD.
Active
Parent organization
TEXAS HEALTHNET MEDICAL CLINIC LTD.
Other names
Healthnet Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEXAS HEALTHNET MEDICAL CLINIC LTD.
Authorized official
JOSE REYES MD (OWNER)
(210) 653-7444
Entity
Organization
Contact information
Practice address
8715 VILLAGE DR, SUITE 612, SAN ANTONIO, TX 78217-5405
(210) 653-7444
(210) 653-7456
Mailing address
PO BOX 806, SAN ANTONIO, TX 78293-0806
(210) 653-7444
(210) 653-7456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H6540
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020PC
BCBS OF TEXAS
TX
05
—
140228133
—
TX
Enumeration date
02/23/2007
Last updated
04/30/2008
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