Individual
GUSTAVO ADOLFO FERREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 W GOODWIN ST STE B, PLEASANTON, TX 78064-4119
(830) 480-5133
(830) 480-5144
Mailing address
1342 W GOODWIN ST, PLEASANTON, TX 78064-3900
(830) 480-5133
(830) 480-5144
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
K9525
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
K9525
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
586302AV7U
MEDICARE PTAN
TX
01
—
8JC539
BCBS
TX
Enumeration date
08/25/2006
Last updated
06/09/2022
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