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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