Organization
ANWAR S GERGES MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY RAMON (ADMINISTRATOR)
(210) 481-9544
Entity
Organization
Contact information
Practice address
19234 STONEHUE, SAN ANTONIO, TX 78258-3477
(210) 481-9544
(210) 481-9545
Mailing address
19234 STONEHUE, SAN ANTONIO, TX 78258-3477
(210) 481-9544
(210) 481-9545
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
J5769
TX
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
M8988
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
K2111
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117880802
—
TX
Enumeration date
03/12/2014
Last updated
10/20/2020
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