Gaynor, Caroline Diane

Gaynor, Caroline Diane is an individual health care provider with primary practice located at 1804 Ne Loop 410 Suite 200, San Antonio TX 78217-5215. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Gaynor, Caroline Diane can be contacted via phone (210) 829-1880.

Contact Information

Primary practice address
1804 Ne Loop 410 Suite 200 San Antonio TX 78217-5215
Phone: (210) 829-1880
Fax: (210) 822-6551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 1909 Texas

Profile Details

NPI number 1174515589
LBN Legal business name Gaynor, Caroline Diane
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Aug 3rd, 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 1174515589 NPPES
Texas MEDICAID 215975801
Texas Other 8BT931

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