ALAMO HEIGHTS MINOR EMERGENCY CLINIC, P.A.
Ambulatory Health at Nacogdoches Rd, San Antonio, TX

License number
Texas J4899
Category
Ambulatory Health
Type
Urgent Care
Owner
Name: DR. MICHAEL RAYNARD MAGOON M.D.
Title: PRESIDENT
Phone: (210) 930-4500
Address
Address
1802 Nacogdoches Rd, San Antonio, TX 78209
National Provider ID: 1992867790
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ALAMO HEIGHTS MINOR EMERGENCY CLINIC, PA

San Antonio, TX

Doing business as:
Alamo Heights Minor Emergency Clinic<br>Alamo Heights Minor Emergency Clinic, PA<br>Alamo Heights Urgent Care Clinic<br>Lavernia Urgent Care<br>Michael R. Magoon, MD, PA<br>The Urgent Care Clinic La Vernia
Registration:
Apr 17, 2001
Addresses:
6496 N New Braunfels Ave, San Antonio, TX 78209 (Mailing)
1802 Nacogdoches Rd, San Antonio, TX 78209
State ID:
0082268103
Business type:
Professional Association
Director , Member , Secretarys:
Michael R. Magoon (President , Director , Member),Derek W. Guillory (Director , Member , Secretary)
TIN:
32035985079

THE PERSONAL PHYSICIAN, PA

San Antonio, TX

Doing business as:
Alamo Heights Minor Emergency Clinic, PA<br>The Personal Physician, PA
Registration:
May 7, 2004
Addresses:
1110 Austin Hwy, San Antonio, TX 78209 (Mailing)
5307 Broadway St, San Antonio, TX 78209
State ID:
0800339341
Business type:
Professional Association
Member, Secretary, Director, President:
H. Scott Campbell (Member, Secretary, Director, President)
TIN:
32035605537

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