GONZABA MEDICAL GROUP – NPI #1053684761
Clinic/Center

GONZABA MEDICAL GROUP is an AHC clinic located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1053684761 to GONZABA MEDICAL GROUP on February 13, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GONZABA MEDICAL GROUP” is a dba name, the actual legal business name for this organization is GMG HEALTH SYSTEMS, PA. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GONZABA MEDICAL GROUP below.

NPI Profile for
GMG HEALTH SYSTEMS, PA

NPI Number
1053684761
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GMG HEALTH SYSTEMS, PA
Doing Business As (dba): GONZABA MEDICAL GROUP
Primary location
720 PLEASANTON RD
SAN ANTONIO, TX 78214-1306
Phone: (210) 921-3800 Fax: (210) 334-2851
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GAIL SOUTHARD
SR CREDENTIALING SPECALIST
Phone: (210) 921-3867
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)		 TX 664714

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.