| NPI | 1053684761 |
|---|---|
| Doing Business As | GONZABA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GAIL SOUTHARD Sr Credentialing Specalist 210-921-3867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX 664714) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |