# ALTBA,P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Luis A. Gonzalez,M.D., P.A., Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356396139
- **Authorized official:** LUIS ALFREDO GONZALEZ M.D. (PHYSICIAN OWNER)
- **Authorized official phone:** (956) 425-6500

## Contact information

- **Practice address:** 1821 SESAME DRIVE, SUITE\#8, HARLINGEN, TX 78550
- **Practice address phone:** (956) 425-6500
- **Practice address fax:** (956) 425-6501
- **Mailing address:** 1821 SESAME DRIVE, SUITE\#8, HARLINGEN, TX 78550
- **Mailing address phone:** (956) 425-6500
- **Mailing address fax:** (956) 425-6501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | L0213 | TX | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 10/08/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00838T | BLUE CROSS BLUE SHIELD | TX |
| 05 | — | 152198101 | — | TX |