Provider Demographics
NPI:1104670595
Name:MERCY WELLNESS CLINIC ALAMO RANCH PLLC
Entity type:Organization
Organization Name:MERCY WELLNESS CLINIC ALAMO RANCH PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-438-9300
Mailing Address - Street 1:18568 FORTY SIX PKWY STE 3001
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-6885
Mailing Address - Country:US
Mailing Address - Phone:830-438-9300
Mailing Address - Fax:
Practice Address - Street 1:18568 FORTY SIX PKWY STE 3001
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-6885
Practice Address - Country:US
Practice Address - Phone:830-438-9300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty