Provider Demographics
NPI:1801978945
Name:GENERAL PHYSICIANS GROUP, PA
Entity type:Organization
Organization Name:GENERAL PHYSICIANS GROUP, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:CORREA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-977-8100
Mailing Address - Street 1:PO BOX 780007
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78278-0007
Mailing Address - Country:US
Mailing Address - Phone:210-977-8100
Mailing Address - Fax:210-921-1163
Practice Address - Street 1:8726 POTEET JOURDANTON FWY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-2412
Practice Address - Country:US
Practice Address - Phone:210-977-8100
Practice Address - Fax:210-921-1163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty