Individual
DR. CAROLINE DIANE GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
11212 STATE HWY 151, MEDICAL PLAZA 1 STE. 370, SAN ANTONIO, TX 78251-4504
(210) 664-4700
(210) 314-1771
Mailing address
11212 STATE HWY 151, MEDICAL PLAZA 1 STE. 370, SAN ANTONIO, TX 78251-4504
(210) 664-4700
(210) 314-1771
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
1909
TX
213ES0131X
Foot Surgery Podiatrist
Primary
1909
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215975801
—
TX
01
—
8BT931
BCBS
TX
Enumeration date
08/22/2005
Last updated
05/07/2025
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