Organization
PACT-PEDIATRIC ASSOCIATES AT CLOCK TOWER, LLC
Active
Parent organization
PACT-PEDIATRIC ASSOCIATES AT CLOCK TOWER, LLC
Other names
Diane A. McMains, M.D. dba Pediatric Associates at Clock Tower
Organization subpart
Yes
Provider details
NPI number
Legal business name
PACT-PEDIATRIC ASSOCIATES AT CLOCK TOWER, LLC
Authorized official
DR. DIANE A MCMAINS M.D. (PEDIATRICIAN PRACTICE OWNER)
(210) 494-7758
Entity
Organization
Contact information
Practice address
14811 SAN PEDRO AVE, SAN ANTONIO, TX 78232-3708
(210) 494-7758
(210) 494-2353
Mailing address
14811 SAN PEDRO AVE, SAN ANTONIO, TX 78232-3708
(210) 494-7758
(210) 494-2353
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E5170
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092332801
—
TX
05
—
092332802
—
TX
Enumeration date
11/27/2006
Last updated
02/03/2014
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