| Raul E. Gaona, Sr, M.d., P.a. | |
|
98 Briggs St Suite 900b San Antonio TX 78224-1286 | |
| (210) 927-1472 | |
| (210) 921-1212 |
| Full Name | Raul E. Gaona, Sr, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 98 Briggs St, San Antonio, Texas |
| Authorized Official Name and Position | Raul Efrain Gaona (OWNER) |
| Authorized Official Contact | 2109271472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raul E. Gaona, Sr, M.d., P.a. 98 Briggs St Suite 900b San Antonio TX 78224-1286 Ph: (210) 927-1472 | Raul E. Gaona, Sr, M.d., P.a. 98 Briggs St Suite 900b San Antonio TX 78224-1286 Ph: (210) 927-1472 |
| NPI Number | 1265540959 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 09/13/2007 |
| Medicare PECOS PAC ID | 9537329644 |
|---|---|
| Medicare Enrollment ID | O20120328000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265540959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D4124 (Texas) | Primary |
| Provider Name | Raul Efrain Gaona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356384259 PECOS PAC ID: 1355399700 Enrollment ID: I20061027000199 |
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