Individual
TANYA M GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3320 OAKWELL CT, SAN ANTONIO, TX 78218
(210) 829-5180
(210) 829-5030
Mailing address
3320 OAKWELL CT, SAN ANTONIO, TX 78218-3019
(210) 829-5180
(210) 829-5030
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA09169
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3416851-01
—
TX
01
—
PA09169
TEXAS LICENSE
TX
Enumeration date
08/14/2014
Last updated
03/05/2026
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