Organization · Type 2 NPI

Proactive MD TX Professional Corporation

Primary Care Clinic/Center · San Antonio, TX

NPI number 1245013192 Active

Practice location

2222 W Malone Ave
San Antonio, TX 78225-2022

Call (210) 660-4646 Map

Mailing address

86 Villa Rd Ste 100
Greenville, SC 29615-3052

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1245013192

Proactive MD TX Professional Corporation's National Provider Identifier is 1245013192, issued on Aug 15, 2023. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in San Antonio, TX. The record was last updated on Sep 2, 2026.