Organization
GREGORY D ALES DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE R LETARD (ADMINISTRATOR)
(830) 896-2900
Entity
Organization
Contact information
Practice address
4242 MEDICAL DR STE 6100, SAN ANTONIO, TX 78229-5643
(830) 896-2900
(830) 792-5952
Mailing address
PO BOX 293879, KERRVILLE, TX 78029-3879
(830) 896-2900
(830) 792-5952
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M253
TX
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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