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Organization
GONZALES ORAL & MAXILLOFACIAL SURGERY PLLC
Active
Organization
GONZALES ORAL & MAXILLOFACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEILA TREVINO (CREDENTIALING SPECIALIST)
(956) 778-1117
Entity
Organization
Contact information
Practice address
101 STUART PLACE RD STE E, HARLINGEN, TX 78552-6483
(915) 329-1641
Mailing address
101 STUART PLACE RD STE E, HARLINGEN, TX 78552-6483
(915) 329-1641
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/17/2026
Last updated
08/18/2026
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