Individual provider · NPI-1

Gregory Bales, ATP

Technician, Other · San Antonio, TX

NPI number1609156405
StatusActive
Last updated in NPPESAug 24, 2011

Details

NPI
1609156405
Entity type
Individual (NPI-1)
Name
Gregory Bales
Credential
ATP
Sex
Male
Sole proprietor
No
Enumeration date
Aug 24, 2011
Last updated
Aug 24, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

7719 Wurzbach Rd
San Antonio, TX 78229-4422

Phone 210-949-1660 · Fax 210-949-0434

Mailing address

7719 Wurzbach Rd
San Antonio, TX 78229-4422

Phone 210-949-1660 · Fax 210-949-0434

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Other Technician, Other providers in San Antonio, TX