Organization
GERARDO E. CARCAMO, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARDO E CARCAOM M.D. (M.D., PRESIDENT)
(210) 220-1726
Entity
Organization
Contact information
Practice address
414 NAVARRO ST, SUITE 810, SAN ANTONIO, TX 78205-2577
(210) 220-1726
(210) 224-3058
Mailing address
414 NAVARRO ST, SUITE 810, SAN ANTONIO, TX 78205-2577
(210) 220-1726
(210) 224-3058
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K4014
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073CF
BLUE CROSS/BLUE SHIELD
TX
01
—
020045233
MEDICARE RAIL ROAD
TX
05
—
029449801
—
TX
01
—
268085
HUMANA
TX
01
—
4160893
BLUE LINK
TX
01
—
5220564
AETNA
TX
Enumeration date
08/28/2012
Last updated
08/28/2012
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