Individual
ANTHONY GARDEA
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) 704-4966
(210) 704-2532
Mailing address
315 N SAN SABA, STE. 1003 OR 1135, SAN ANTONIO, TX 78207-3154
(210) 704-3391
(210) 704-4520
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H5443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19627
CARELINK
TX
01
—
8G8249
BCBS
TX
01
—
S0079054
DPS REGISTRATION
TX
Enumeration date
08/24/2006
Last updated
03/07/2023
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