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Organization
OMAR GONZALEZ, M.D., P.A.
Active
Organization
OMAR GONZALEZ, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR GONZALEZ M.D. (PRESIDENT)
(915) 253-1757
Entity
Organization
Contact information
Practice address
1715 SAUL KLEINFIELD BLDG A, EL PASO, TX 79936
(915) 222-8275
(915) 544-5696
Mailing address
PO BOX 71449, EL PASO, TX 79917-1449
(915) 222-8275
(915) 544-5696
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K4440
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150280902
—
TX
Enumeration date
06/01/2006
Last updated
02/20/2012
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