Individual
MR. GREGORY G GOODWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 450-6470
Mailing address
7500 BARLITE BLVD STE 311, SAN ANTONIO, TX 78224-1363
(210) 450-4000
(210) 450-4903
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192131402
—
TX
Enumeration date
08/24/2006
Last updated
11/14/2025
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