V. Gregory Gonzaba, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L0807 Issued in TX

Legal business name

V. GREGORY GONZABA, MD

Practice address

999 E Basse Rd
Suite # 180-420
San Antonio, TX 78209-1801

Phone

(210) 921-3867

Fax

(210) 334-2851

NPI assigned

Nov 16, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vincent Gregory Gonzaba, M.D.

Title

Owner

Phone

(210) 921-3867

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1104153949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 E BASSE RD",
            "address_2": "SUITE # 180-420",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091801",
            "telephone_number": "210-921-3867",
            "fax_number": "210-334-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 E BASSE RD",
            "address_2": "SUITE # 180-420",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091801",
            "telephone_number": "210-921-3867",
            "fax_number": "210-334-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V. GREGORY GONZABA, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "GONZABA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-921-3867",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L0807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.