Individual
DR. GARY LAURENT LEGAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2013-00434
NC
207W00000X
Ophthalmology Physician
Primary
Q1851
TX
208D00000X
General Practice Physician
25760
NE
Other
Enumeration date
06/16/2009
Last updated
12/13/2021
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