Individual
GARY J MASZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6800 W IH 10, SUITE 200, SAN ANTONIO, TX 78201-2038
(210) 271-3203
(210) 733-6983
Mailing address
6800 W IH 10, SUITE 200, SAN ANTONIO, TX 78201-2038
(210) 271-3203
(210) 733-6983
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M3313
TX
207RI0011X
Interventional Cardiology Physician
M3313
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060047582
RAILROAD MEDICARE
TX
05
—
179869603
—
TX
01
—
8CU312
BCBS
TX
01
—
8F4522
BCBS
TX
01
—
P00948205
RAILROAD
TX
Enumeration date
06/10/2006
Last updated
01/24/2022
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