Individual provider · Type 1 NPI

Jason Gourlas, PA

Surgical Physician Assistant · San Antonio, TX

NPI number 1750498754 Active

Practice location

4502 Medical Dr
San Antonio, TX 78229-4402

Call (210) 358-2078 Map

Fax (210) 358-1972

Mailing address

7703 Floyd Curl Dr
San Antonio, TX 78229-3901

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA01671 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1750498754

Jason Gourlas, PA's National Provider Identifier is 1750498754, issued on Aug 24, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Antonio, TX. The record was last updated on Oct 29, 2014.