Healthcare Provider Details

I. General information

NPI: 1710981758
Provider Name (Legal Business Name): JOYCE J GELFOND MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 SKYFOREST DR
SAN ANTONIO TX
78232-2030
US

IV. Provider business mailing address

700 SKYFOREST DR
SAN ANTONIO TX
78232-2030
US

V. Phone/Fax

Practice location:
  • Phone: 210-490-9334
  • Fax: 210-496-6719
Mailing address:
  • Phone: 210-490-9334
  • Fax: 210-496-6719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD 9797
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: