Organization · NPI-2

Anwar S Gerges MD PLLC

Internal Medicine, Nephrology · San Antonio, TX

NPI number1265858492

StatusActive

Last updated in NPPESOct 20, 2020

Details

NPI: 1265858492
Entity type: Organization (NPI-2)
Legal business name: Anwar S Gerges MD PLLC
Organization subpart: No
Enumeration date: Mar 12, 2014
Certification date: Oct 20, 2020
Last updated: Oct 20, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RN0300X	Internal Medicine, Nephrology	J5769	TX	Yes
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	K2111	TX
207YX0905X	Otolaryngology, Otolaryngology/Facial Plastic Surgery	m8988	TX
2086S0122X	Surgery, Plastic and Reconstructive Surgery	–	–

Practice location

19234 Stonehue
San Antonio, TX 78258-3477

Phone 210-481-9544 · Fax 210-481-9545

Mailing address

19234 Stonehue
San Antonio, TX 78258-3477

Phone 210-481-9544 · Fax 210-481-9545

Authorized official

Randy Ramon
Administrator
2104819544

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