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Organization
SOUTH TEXAS ANCILLARY SERVICES, LTD
Active
Organization
SOUTH TEXAS ANCILLARY SERVICES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GONZABA SR. MD (PRESIDENT/CEO)
(210) 921-3800
Entity
Organization
Contact information
Practice address
720 PLEASANTON RD, SAN ANTONIO, TX 78214-1306
(210) 921-3800
(210) 921-6620
Mailing address
720 PLEASANTON RD, SAN ANTONIO, TX 78214-1306
(210) 921-3800
(210) 921-6620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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