Organization
CHARLES T GAY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES T GAY MD PA (PRESIDENT)
(210) 614-3737
Entity
Organization
Contact information
Practice address
4499 MEDICAL DRIVE, STE 396, SAN ANTONIO, TX 78229-3713
(210) 614-3737
(210) 614-3147
Mailing address
4499 MEDICAL DR, STE 396, SAN ANTONIO, TX 78229-3713
(210) 614-3737
(210) 614-3147
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
G8126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151178401
—
TX
Enumeration date
06/29/2007
Last updated
05/05/2008
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