Individual
DR. ANNA PANTUSA GONZABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
730 PLEASANTON RD, SAN ANTONIO, TX 78214-1306
(210) 921-3800
Mailing address
720 PLEASANTON RD, SAN ANTONIO, TX 78214-1306
(210) 921-3800
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
H4598
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059JG
BLUE CROSS NUMBER
TX
Enumeration date
07/25/2006
Last updated
08/10/2016
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