Organization
TEXAS OAKS ORTHOPAEDIC AND SPORTS MEDICINE INSTITUTE, P.A.
Active
Organization
TEXAS OAKS ORTHOPAEDIC AND SPORTS MEDICINE INSTITUTE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M. GONZALEZ M.D. (PRESIDENT)
(210) 753-2663
Entity
Organization
Contact information
Practice address
8299 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3359
(210) 753-2663
Mailing address
8299 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3359
(210) 753-2663
(210) 617-7542
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
F6677
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
539091
GROUP MEDICARE PTAN
TX
01
—
539093ZW7
IND. MEDICARE PTAN
TX
Enumeration date
09/19/2016
Last updated
11/07/2019
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