Organization
DIRECT MEDICAL PLLC
Active
Other names
DIRECT MED CLINIC, MEDALLUS URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER MOCZYGEMBA MD (OWNER)
(210) 264-5500
Entity
Organization
Contact information
Practice address
1010 NW LOOP 410 STE 100A, SAN ANTONIO, TX 78213-2220
(210) 886-8031
(210) 886-8059
Mailing address
1010 NW LOOP 410 STE 100A, SAN ANTONIO, TX 78213-2220
(210) 886-8031
(210) 886-8059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
01/17/2019
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