Organization
CARDIOVASCULAR CONSULTANTS OF SAN ANTONIO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GRESHAM MD (OWNER)
(210) 391-4282
Entity
Organization
Contact information
Practice address
540 OAK CENTRE DR STE 260, SAN ANTONIO, TX 78258-4767
(210) 499-0448
(210) 370-9638
Mailing address
540 OAK CENTRE DR STE 260, SAN ANTONIO, TX 78258-4767
(210) 499-0448
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
M6641
TX
207RI0011X
Interventional Cardiology Physician
Primary
M6641
TX
Other
Enumeration date
03/28/2012
Last updated
09/14/2022
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