Basic Information
| Provider Information | |||||||||
| NPI: | 1881853885 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GEREZ MARTINEZ | ||||||||
| FirstName: | CESAR | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.D | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | GEREZ | ||||||||
| OtherFirstName: | CESAR | ||||||||
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| OtherCredential: | M.D | ||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | 17101 LA CANTERA PKWY APT 10401 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782562493 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7132043502 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3903 WISEMAN BLVD STE 100 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782514402 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106810126 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/04/2008 | ||||||||
| LastUpdateDate: | 01/31/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | P1310 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.