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NPI Code Detail

MEDICARE: GABRIEL ORTIZ-VARELA MD

MEDICARE:   GABRIEL  ORTIZ-VARELA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianPHYTEMPTX
2207R00000XInternal Medicine PhysicianR4121TX

General Provider Information

NPI Number : 1255759098
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIEL ORTIZ-VARELA MD
Provider Business Mailing Address
First Line : 4411 E. SOUTHCROSS BLVD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78222
Country : US
Telephone Number : 210-648-9500
Fax Number :
Provider Business Practice Location Address
First Line : 4411 E SOUTHCROSS BLVD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78222-3726
Country : US
Telephone Number : 210-648-9500
Fax Number : 210-648-9504
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2014
Last Update Date : 11/18/2022

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Directions to “ GABRIEL ORTIZ-VARELA MD” Practice Location

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