Individual
DAIZHA GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15900 LA CANTERA PKWY, SUITE 20265, SAN ANTONIO, TX 78256-2422
(210) 314-4740
(210) 314-4761
Mailing address
15900 LA CANTERA PKWY, SUITE 20265, SAN ANTONIO, TX 78256-2422
(210) 314-4740
(210) 314-4761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07476
TX
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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