Organization
DEPT OF VERTANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNEST ANTHONY GONZALES (ORTHOTIC FITTER)
(210) 617-5300
Entity
Organization
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
(210) 949-3915
Mailing address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
(210) 949-3915
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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