Individual
CHRISTIAN EMMANUEL GAONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACAGNP
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229
(210) 450-9000
(210) 358-1972
Mailing address
7703 FLOYD CURL DR # MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP135856
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
384934101
—
TX
01
—
384934102
CSHCN
TX
Enumeration date
03/19/2018
Last updated
07/25/2018
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