V. Gregory Gonzaba, Md | |
999 E Basse Rd Suite # 180-420 San Antonio TX 78209-1801 | |
(210) 921-3867 | |
(210) 334-2851 |
Full Name | V. Gregory Gonzaba, Md |
---|---|
Speciality | Internal Medicine |
Location | 999 E Basse Rd, San Antonio, Texas |
Authorized Official Name and Position | Vincent Gregory Gonzaba (OWNER) |
Authorized Official Contact | 2109213867 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
V. Gregory Gonzaba, Md 999 E Basse Rd Suite # 180-420 San Antonio TX 78209-1801 Ph: (210) 921-3867 | V. Gregory Gonzaba, Md 999 E Basse Rd Suite # 180-420 San Antonio TX 78209-1801 Ph: (210) 921-3867 |
NPI Number | 1104153949 |
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Provider Enumeration Date | 11/16/2009 |
Last Update Date | 11/16/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104153949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | L0807 (Texas) | Primary |
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