Individual
CHARLES T GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4499 MEDICAL DR, STE 396, SAN ANTONIO, TX 78229-3713
(210) 614-3737
(210) 614-3147
Mailing address
4499 MEDICAL DR, STE 396, SAN ANTONIO, TX 78229-3713
(210) 614-3737
(210) 614-3147
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G8126
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
G8126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100825910A
—
OK
05
—
129615407
—
TX
05
—
129615408
—
TX
01
—
8AJ972
BCBS OF TEXAS
TX
Enumeration date
01/24/2006
Last updated
09/26/2011
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