Healthcare Provider Details

I. General information

NPI: 1801978945
Provider Name (Legal Business Name): GENERAL PHYSICIANS GROUP, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8726 POTEET JOURDANTON FWY
SAN ANTONIO TX
78224-2412
US

IV. Provider business mailing address

PO BOX 780007
SAN ANTONIO TX
78278-0007
US

V. Phone/Fax

Practice location:
  • Phone: 210-977-8100
  • Fax: 210-921-1163
Mailing address:
  • Phone: 210-977-8100
  • Fax: 210-921-1163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CARLOS CORREA
Title or Position: OWNER
Credential: MD
Phone: 210-977-8100