# GAONA FAMILY MEDICAL CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710918354
- **Authorized official:** DR. RAUL EFRAIN GAONA MD (OWNER)
- **Authorized official phone:** (210) 433-6909

## Contact information

- **Practice address:** 1805 CASTROVILLE RD, SAN ANTONIO, TX 78237-3659
- **Practice address phone:** (210) 433-6909
- **Practice address fax:** (210) 433-6907
- **Mailing address:** PO BOX 37080, SAN ANTONIO, TX 78237-0080
- **Mailing address phone:** (210) 433-7690
- **Mailing address fax:** (210) 433-6907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D4124 | TX | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 08/22/2020