Individual
MR. GILBERT AGUALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
803 CASTROVILLE RD, SAN ANTONIO, TX 78237-3153
(210) 436-2339
Mailing address
22931 SEEPLE BLUFF, SAN ANTONIO, TX 78256
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13567
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1335572-01
—
TX
Enumeration date
01/29/2007
Last updated
07/08/2007
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