Organization
GAB ENDOSCOPY CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PERKINS (OPERATIONS MANAGER)
(210) 253-3430
Entity
Organization
Contact information
Practice address
621 CAMDEN ST STE 102, SAN ANTONIO, TX 78215-1644
(210) 253-3430
(210) 227-1196
Mailing address
621 CAMDEN ST STE 102, SAN ANTONIO, TX 78215-1644
(210) 253-3430
(210) 227-1196
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162555001
—
TX
01
—
HH018A
BLUE CROSS BLUE SHIELD
TX
01
—
POO169210
RAILROAD MEDICARE
TX
Enumeration date
06/21/2005
Last updated
12/16/2020
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