Provider Demographics
NPI:1649382029
Name:LAWTON, GARY PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:PAUL
Last Name:LAWTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 OAK CENTRE DR STE 260
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3945
Mailing Address - Country:US
Mailing Address - Phone:210-496-2639
Mailing Address - Fax:210-496-2376
Practice Address - Street 1:525 OAK CENTRE DR STE 260
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3945
Practice Address - Country:US
Practice Address - Phone:210-496-2639
Practice Address - Fax:210-496-2376
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9591174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist