Individual
ANTONIO GAMBOA
Active
Individual
ANTONIO GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33649
AZ
207R00000X
Internal Medicine Physician
Primary
M7983
TX
208000000X
Pediatrics Physician
33649
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202793004
—
TX
05
—
202793005
—
TX
05
—
202793006
—
TX
05
—
202793007
—
TX
05
—
946999
—
AZ
Enumeration date
07/12/2006
Last updated
08/14/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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