Provider Demographics
NPI:1952893448
Name:GREATER TEXAS PALLIATIVE CARE SERVICES PLLC
Entity Type:Organization
Organization Name:GREATER TEXAS PALLIATIVE CARE SERVICES PLLC
Other - Org Name:GREATER TEXAS PALLIATIVE CARE SERVICES PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNUGANTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-254-5119
Mailing Address - Street 1:21806 BARTON WOODS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-2350
Mailing Address - Country:US
Mailing Address - Phone:210-254-5119
Mailing Address - Fax:
Practice Address - Street 1:21806 BARTON WOODS
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259
Practice Address - Country:US
Practice Address - Phone:210-254-5119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-31
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty