Medellin, Gustavo Javier

Medellin, Gustavo Javier is an individual health care provider with primary practice located at 7700 Floyd Curl Dr , San Antonio TX 78229-3902. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Medellin, Gustavo Javier can be contacted via phone (210) 575-4000.

Contact Information

Primary practice address
7700 Floyd Curl Dr San Antonio TX 78229-3902
Phone: (210) 575-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K0129 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X K0129 Texas

Profile Details

NPI number 1871571968
LBN Legal business name Medellin, Gustavo Javier
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Nov 6th, 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 1871571968 NPPES
Texas MEDICAID 164101101

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