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Individual
PAUL GONZALEZ JR.
Active
Individual
PAUL GONZALEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00970
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N9131
BLUE SHIELD
TX
Enumeration date
04/08/2006
Last updated
12/16/2021
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