Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | N6738 | TX |
NPI | 1285887166 |
---|---|
Provider Name | Dr. Gabriel Alberto Urrea-Botero |
First Address | San Antonio, TX 78214-1306 |
Second Address | San Antonio, TX 78214 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2008 |
Last Update Date | 03/08/2021 |