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Organization

JUAN H GONZALEZ MD PA

Active
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Organization

JUAN H GONZALEZ MD PA

Active
Other names
Valley Family Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
JUAN H GONZALEZ MD (PRESIDENT)
(956) 554-7005
Entity
Organization

Contact information

Practice address
5460 PAREDES LINE RD, SUITE 209, BROWNSVILLE, TX 78526-9740
(956) 554-7005
(956) 554-3288
Mailing address
PO BOX 190, OLMITO, TX 78575

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J9686
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092553901
—
TX
01
—
092553902
MEDICAID (THSTEPS)
TX
01
—
133848100
FIRST CARE
TX
Enumeration date
10/02/2006
Last updated
08/04/2010
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