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Individual

GERARDO A. CHICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2391 NE LOOP 410 STE 405, SAN ANTONIO, TX 78217-5675
(210) 654-7326
(210) 590-8232
Mailing address
7142 SAN PEDRO AVE, SUITE 120, SAN ANTONIO, TX 78216-6256
(210) 661-5622
(210) 798-6811

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
31236
TX
207RN0300X
Nephrology Physician
Primary
L4883
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154603802
TX
01
P00098965
MEDICARE RAILROAD
TX
Enumeration date
12/09/2005
Last updated
08/19/2021
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