Provider Demographics
NPI:1376859355
Name:STONE OAK URGENT CARE & FAMILY P.A.
Entity Type:Organization
Organization Name:STONE OAK URGENT CARE & FAMILY P.A.
Other - Org Name:STONE OAK URGENT CARE & FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SUDHIR
Authorized Official - Middle Name:R
Authorized Official - Last Name:GOGU
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:210-481-6060
Mailing Address - Street 1:104 GALLERY CIR STE 114
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3330
Mailing Address - Country:US
Mailing Address - Phone:210-481-6060
Mailing Address - Fax:210-481-6068
Practice Address - Street 1:104 GALLERY CIR STE 114
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258
Practice Address - Country:US
Practice Address - Phone:210-481-6060
Practice Address - Fax:210-481-6068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-27
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0209261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH19945OtherUPIN H199