Quezada, Gerardo

Quezada, Gerardo is an individual health care provider with primary practice located at 4410 Medical Dr Suite 540, San Antonio TX 78229-3749. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Quezada, Gerardo can be contacted via phone (210) 575-6240.

Contact Information

Primary practice address
4410 Medical Dr Suite 540 San Antonio TX 78229-3749
Phone: (210) 575-6240
Fax: (210) 575-6280
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X M7544 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M7544 Texas
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X M7544 Texas

Profile Details

NPI number 1427227602
LBN Legal business name Quezada, Gerardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2008
Last updated Mar 9th, 2012 - about 12 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 1427227602 NPPES
Texas Other 191616506 CSHCN
Texas Other 8F10114 CSHCN
Texas MEDICAID 191616505 CSHCN
Texas Other 8BX396 CSHCN

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