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Individual
MS. SARA M GONZALEZ
Active
Individual
MS. SARA M GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1254999
TX
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
1254999
TX
Other
Enumeration date
08/30/2016
Last updated
10/07/2020
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