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Individual

MS. GINA L KEIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
525 OAK CENTRE DR, SUITE 350, SAN ANTONIO, TX 78258-3944
(210) 297-4560
(210) 297-0451
Mailing address
8606 VILLAGE DR, STE A, SAN ANTONIO, TX 78217-5506
(210) 657-0220
(210) 590-7288

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA02304
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA02304
PHYSICIAN ASSISTANT PERMIT
TX
Enumeration date
06/25/2009
Last updated
09/28/2018
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