Individual provider · Type 1 NPI

Stacy Martyn Gallo, P.A. -C

Medical Physician Assistant · San Antonio, TX

NPI number 1023397288 Active

Practice location

1380 Pantheon Way, Suite 310
San Antonio, TX 78232-2288

Fax (210) 404-9466

Mailing address

402 Bluffcourt
San Antonio, TX 78216-1907

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1023397288

Stacy Martyn Gallo, P.A. -C's National Provider Identifier is 1023397288, issued on Aug 5, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Antonio, TX. The record was last updated on Jul 26, 2013.