Magoon Private Clinic, Pllc

NPI #1669291845 in Alamo Heights, Texas

Provider Information

NPI Number: 1669291845
Entity Type: Organization
Organization Name: Magoon Private Clinic, Pllc
Primary Specialty: General Practice
Enumeration Date: Oct 7, 2024
Last Updated: Oct 7, 2024

Practice Location

Address: 6104 BROADWAY STE C-1
City: Alamo Heights
State: Texas
ZIP Code: 78209-4553
Phone: (210) 756-0800

Authorized Official

Name: DR. MICHAEL MAGOON, MD
Title: OWNER
Phone: (210) 862-6064

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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