STACY MARTYN GALLO P.A. -C NPI 1023397288

NPI Information

NPI: 1023397288
Provider Name: STACY MARTYN GALLO, P.A. -C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1380 PANTHEON WAY
SUITE 310
SAN ANTONIO, TX
ZIP 78232
Phone: (210) 404-9696
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Stacy Martyn Gallo, P.A. -C is a medical physician assistant in San Antonio, TX. Stacy Martyn Gallo, P.A. -C NPI is 1023397288. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1380 PANTHEON WAY
SUITE 310
SAN ANTONIO, TX
ZIP 78232-288
Phone: (210) 404-9696
Fax: (210) 404-9466

The enumeration date for this NPI number is 8/5/2011 and was last updated on 7/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical		TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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