PROACTIVE MD TX PROFESSIONAL CORPORATION is a primary care clinic center in San Antonio, TX. PROACTIVE MD TX PROFESSIONAL CORPORATION NPI is 1245013192. The provider is registered as an organization entity type. The provider .
The provider's business location address is:
2222 W MALONE AVE SAN ANTONIO, TX ZIP 78225-022 Phone: (210) 660-4646
The provider's authorized official is Mark Kemble . The authorized official title is Cmo and has the following contact phone number (864) 501-0751.
The CLIA number assigned to this NPI record is 45D2289118 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/15/2023 and was last updated on 4/10/2025.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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