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Individual
NANCY GONZALEZ
Active
Individual
NANCY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G6799
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140184635
—
TX
01
—
TXB151556
MEDICARE ID TYPE UNSPECIFIED
TX
Enumeration date
07/06/2006
Last updated
03/19/2016
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