Gancayco, John G.

Gancayco, John G. is an individual health care provider with primary practice located at 3551 Roger Brooke Dr , Jbsa Ft Sam Houston TX 78234. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Gancayco, John G. can be contacted via phone (210) 916-2338.

Contact Information

Primary practice address
3551 Roger Brooke Dr Jbsa Ft Sam Houston TX 78234
Phone: (210) 916-2338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101241245 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101241245 Virginia
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X R1954 Texas

Profile Details

NPI number 1609089390
LBN Legal business name Gancayco, John G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Jan 17th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609089390 NPPES
Texas Other 375517503 CSHCN
Texas MEDICAID 375517502 CSHCN

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