| Doctor Name: | JOHN FRANKLIN BLACK |
| NPI Number: | 1043221120 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD MBA |
| License Number: | KD5820 |
| Business Practice Address: | 720 Pleasonton Rd Gontaba Medical Group San Antonio, TX - 78214 |
| Business Phone Number: | 2109213800 |
| Business Fax Number: | 2109213873 |
| Mailing Address: | 159 Oakhurst Place, SAN ANTONIO |
| State: | TX |
| Postal Code: | 78209 |
| Phone Number: | 2102645338 |
| Fax Number: | 2109301003 |
| NPI Enumeration Date: | 08/11/2006 |
| NPI Last Update Date: | 12/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | KD5820 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |