Organization
KOMEDIX HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER DALE KELLY (COO)
(830) 708-8182
Entity
Organization
Contact information
Practice address
189 E AUSTIN ST, STE. 106, NEW BRAUNFELS, TX 78130-4104
(830) 708-8182
Mailing address
2323 BUENA VISTA ST, SAN ANTONIO, TX 78207-3704
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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