Suzanne K. Gazda, Md, Pa | |
3603 Paesanos Pkwy Ste 300 San Antonio TX 78231-1270 | |
(210) 692-1245 | |
(210) 692-9311 |
Full Name | Suzanne K. Gazda, Md, Pa |
---|---|
Speciality | Psychiatry & Neurology |
Location | 3603 Paesanos Pkwy Ste 300, San Antonio, Texas |
Authorized Official Name and Position | Suzanne K Gazda (OWNER) |
Authorized Official Contact | 2106921245 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Suzanne K. Gazda, Md, Pa Po Box 293879 Kerrville TX 78029-3879 Ph: (210) 692-1245 | Suzanne K. Gazda, Md, Pa 3603 Paesanos Pkwy Ste 300 San Antonio TX 78231-1270 Ph: (210) 692-1245 |
NPI Number | 1710949698 |
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Provider Enumeration Date | 04/05/2006 |
Last Update Date | 07/10/2024 |
Certification Date | 07/10/2024 |
Medicare PECOS PAC ID | 0143267161 |
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Medicare Enrollment ID | O20051027000480 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710949698 | NPI | - | NPPES |
0035RA | Other | TX | TX BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | H0527 (Texas) | Primary |
Provider Name | Richard B Neiman |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1356302871 PECOS PAC ID: 2163320243 Enrollment ID: I20040519001324 |
Provider Name | Suzanne Klaus Gazda |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1740286764 PECOS PAC ID: 5395782320 Enrollment ID: I20051101001006 |
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