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Individual

GERALD M GATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
10711 SPIRIT HORSE, HELOTES, TX 78023-3997
(210) 838-7370
Mailing address
10711 SPIRIT HORSE, HELOTES, TX 78023-3997
(210) 838-7370

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
735894
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
735894
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
193547004
TX
01
8131UU
BCBS
TX
01
P00710248
RAILROAD
TX
Enumeration date
11/29/2007
Last updated
04/07/2016
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