Richard J Gong, MD PA
NPI #1356644561 in San Antonio, Texas
Provider Information
- NPI Number
- 1356644561
- Entity Type
- Organization
- Organization Name
- Richard J Gong, MD PA
- Primary Specialty
- Surgery
- Enumeration Date
- Dec 9, 2010
- Last Updated
- Dec 9, 2010
Practice Location
- Address
- 2455 NE LOOP 410
- Address 2
- SUITE 245
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78217-5649
- Phone
- (210) 654-0866
Authorized Official
- Name
- DR. RICHARD JOHN GONG, M.D.
- Title
- DOCTOR/OWNER
- Phone
- (210) 654-0866
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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