Individual
GAUTHAM PRABHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 567-5139
Mailing address
501 FIRSTWOOD UNIT A, EL PASO, TX 79905-4542
(972) 898-2888
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A193464
CA
207X00000X
Orthopaedic Surgery Physician
V7049
TX
Other
Enumeration date
04/23/2019
Last updated
07/03/2025
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