Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | N6198 | TX |
Y | 111NI0900X | Internist | N6198 | TX |
NPI | 1003098815 |
---|---|
Provider Name | Gretchen M Bures |
First Address | San Antonio, TX 78258-3913 |
Second Address | San Antonio, TX 78258-3912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2007 |
Last Update Date | 29/09/2010 |