# DR. G CLINIC, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588193452
- **Authorized official:** DR. MARIO G GONZALEZ MD (OWNER)
- **Authorized official phone:** (575) 636-4877

## Contact information

- **Practice address:** 4913 RUFE SNOW DR STE 102, NORTH RICHLAND HILLS, TX 76180-7856
- **Practice address phone:** (275) 636-4877
- **Mailing address:** 1032 VALLE VISTA LN, KELLER, TX 76248-4050
- **Mailing address phone:** (575) 636-4877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | P4959 | TX | Yes |

## Other

- **Enumeration date:** 06/05/2017
- **Last updated:** 06/05/2017