De Sequera, Gerardo Alfonso
De Sequera, Gerardo Alfonso is an individual health care provider with primary practice located at 524 Singing Oaks Ste 200 , Bulverde TX 78070-6509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. De Sequera, Gerardo Alfonso can be contacted via phone (830) 620-9429.Contact Information
Primary practice address
524 Singing Oaks Ste 200
Bulverde TX 78070-6509
Phone: (830) 620-9429
Fax: (830) 620-9495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K2199 | Texas |
Profile Details
| NPI number | 1275526410 |
|---|---|
| LBN Legal business name | De Sequera, Gerardo Alfonso |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Dec 23rd, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275526410 | NPPES |
| Texas | Other | 1117707-04 | WELLMED MEDICAID |
| Texas | Other | 364195YLPS | WELLMED MEDICAID |
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