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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