Organization
BROOKS CITY BASE CARDIOVASCULAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL TODD FAZ MD (OWNER)
(832) 439-7889
Entity
Organization
Contact information
Practice address
4025 E SOUTHCROSS BLVD STE 15, SAN ANTONIO, TX 78222-3641
(832) 439-7889
Mailing address
4025 E SOUTHCROSS BLVD STE 15, SAN ANTONIO, TX 78222-3641
(832) 439-7889
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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