Individual
JAIME ECHARTEA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-4708
(210) 704-3651
Mailing address
7703 FLOYD CURL DR, MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
094334
OH
2080P0206X
Pediatric Gastroenterology Physician
Primary
P1989
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297701901
—
TX
01
—
297701902
CSHCN
TX
Enumeration date
05/22/2007
Last updated
08/16/2012
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