Organization
GMG HEALTH SYSTEMS, PA
Active
Other names
Gonzaba Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL SOUTHARD (SR CREDENTIALING SPECALIST)
(210) 921-3867
Entity
Organization
Contact information
Practice address
720 PLEASANTON RD, SAN ANTONIO, TX 78214-1306
(210) 921-3800
(210) 334-2851
Mailing address
720 PLEASANTON RD, SAN ANTONIO, TX 78214-1306
(210) 921-3800
(210) 334-2851
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
664714
TX
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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