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Organization
JESUS GARCIA-GALLEGOS, M.D., P.A.
Active
Organization
JESUS GARCIA-GALLEGOS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS GERARDO GARCIA-GALLEGOS M.D. (PRESIDENT)
(210) 468-9110
Entity
Organization
Contact information
Practice address
54 BIGHORN CYN, SAN ANTONIO, TX 78258-7336
(409) 457-6982
Mailing address
54 BIGHORN CYN, SAN ANTONIO, TX 78258-7336
(409) 457-6982
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N3045
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
N3045
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427252089
GONZABA MEDICAL GROUP
TX
05
—
204484401
—
TX
01
—
2795270743
MYUTMB 2795270743-COMMERCIAL NUMBER
—
Enumeration date
06/17/2014
Last updated
06/17/2014
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