| 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 |
|---|---|
| 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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