| Gonzaba Medical Group | |
|
720 Pleasanton Rd San Antonio TX 78214-1306 | |
| (210) 921-3800 | |
| (210) 334-2851 |
| Full Name | Gonzaba Medical Group |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 720 Pleasanton Rd, San Antonio, Texas |
| Authorized Official Name and Position | Gail Southard (SR CREDENTIALING SPECALIST) |
| Authorized Official Contact | 2109213867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gonzaba Medical Group 720 Pleasanton Rd San Antonio TX 78214-1306 Ph: (210) 921-3800 | Gonzaba Medical Group 720 Pleasanton Rd San Antonio TX 78214-1306 Ph: (210) 921-3800 |
| NPI Number | 1053684761 |
|---|---|
| Provider Enumeration Date | 02/13/2012 |
| Last Update Date | 02/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053684761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 664714 (Texas) | Primary |
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