Individual
GUSTAVO ROCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
22607 CARRIAGE BUSH, SAN ANTONIO, TX 78261-4420
(210) 421-1833
Mailing address
22607 CARRIAGE BUSH, SAN ANTONIO, TX 78261-4420
(210) 421-1833
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1150-P.A.
PR
363AM0700X
Medical Physician Assistant
9539
AZ
Other
Enumeration date
12/02/2021
Last updated
02/23/2023
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