Organization
CHILDREN'S NIGHT CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL GOMEZ PENON M.D. (PHYSICIAN/OWNER)
(210) 922-4070
Entity
Organization
Contact information
Practice address
102 PALO ALTO RD, SUITE 120, SAN ANTONIO, TX 78211-3758
(210) 922-4070
(210) 922-7818
Mailing address
PO BOX 241959, SAN ANTONIO, TX 78224-8959
(210) 922-4070
(210) 922-7818
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
L5510
TX
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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