Jason Gourlas is a Surgical in San Antonio, Texas. Jason Gourlas practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jason Gourlas is 1750498754. The last update date is 2014-10-29.
Jason Gourlas's current location address is 7703 Floyd Curl Dr, San Antonio, Texas. You can contact this provider via phone number 2103582078. The mailing address for Jason Gourlas is 7703 Floyd Curl Dr, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Gourlas |
|---|---|
| Address | 7703 Floyd Curl Dr, San Antonio, Texas |
| Phone Number | 2103582078 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1750498754 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2014-10-29 |
Provider Mailing Address Detail
| Address | 7703 Floyd Curl Dr |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782293901 |
| Phone Number | 2103582078 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA01671 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 189458601 | TX | -- | |
| 189458602 | TX | -- |
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What is the unique 10-digit identification code assigned to Jason Gourlas by the Centers for Medicare & Medicaid Services?
The Jason Gourlas has been issued the NPI (National Provider Identifier) 1750498754, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jason Gourlas's facilities are geographically located?
The facilities of Jason Gourlas are physically situated at the following location: 7703 Floyd Curl Dr, San Antonio, TX, 782293901.
What is Jason Gourlas's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jason Gourlas is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.
On what date did Jason Gourlas receive its 1750498754 assignment from the Centers for Medicare & Medicaid Services?
The Jason Gourlas was assigned its 1750498754 on 2006-08-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jason Gourlas most recently updated or revised?
The details related to Jason Gourlas, including its address, specialty, and other relevant information, were last updated or revised on 2014-10-29.
NPI Number: 1942206313
Address: 1250 N Wenatchee Ave Suite H Pmb 352, Wenatchee, WA