Individual
GERARD M PENNINGTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1305 WONDER WORLD DR, SUITE 100, SAN MARCOS, TX 78666-7546
(512) 353-8661
(512) 353-8355
Mailing address
1305 WONDER WORLD DR, SUITE 100, SAN MARCOS, TX 78666-7546
(512) 353-8661
(512) 353-8355
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
J1347
TX
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
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