| Gary S Gossen, M.d., P.a. | |
|
4499 Medical Dr Ste 126 San Antonio TX 78229-3735 | |
| (210) 692-0088 | |
| (210) 692-0030 |
| Full Name | Gary S Gossen, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 4499 Medical Dr, San Antonio, Texas |
| Authorized Official Name and Position | Nancy M Rice (OFFICE MANAGER) |
| Authorized Official Contact | 2106920088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary S Gossen, M.d., P.a. 4499 Medical Dr Ste 126 San Antonio TX 78229-3735 Ph: (210) 692-0088 | Gary S Gossen, M.d., P.a. 4499 Medical Dr Ste 126 San Antonio TX 78229-3735 Ph: (210) 692-0088 |
| NPI Number | 1427386234 |
|---|---|
| Provider Enumeration Date | 12/07/2009 |
| Last Update Date | 01/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427386234 | NPI | - | NPPES |
| F4014 | Other | TX | LICENSE NUMBER |
| 0A5483 | Other | TX | MEDICARE PTAN |
| 1124091079 | Other | TX | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | F4014 (Texas) | Primary |
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