Individual
ADAM LAERTES GOTTULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4458 MEDICAL DR STE 505, SAN ANTONIO, TX 78229-3748
(210) 690-7400
(210) 690-7405
Mailing address
4458 MEDICAL DR STE 505, SAN ANTONIO, TX 78229-3748
(210) 690-7400
(210) 690-7405
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.138703
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
U0121
TX
Other
Enumeration date
03/23/2017
Last updated
03/07/2023
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