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Contact Information

ROSEMARIA GENNUSO, MD
4410 MEDICAL DR
STE 540
SAN ANTONIO, TX78229-6306
 Phone: 210-575-6240
 Fax: 210-575-6280
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Surgery

2086S0120X 02 Physician/General Surgery
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROSEMARIA GENNUSO · (Female)

NPI Number 1093771297
Status Active
Credentials MD
Entity Individual
Enumeration date 04/25/2006
Last updated 01/27/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TX License # M0411
  • TX Medicaid 178202105
  • Other 8BX390 BCBS TX
  • TX Other 178202106 CSHCN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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