Individual
SHARON LIZETH GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
7041 BLACK RIDGE DR, EL PASO, TX 79912-7242
(915) 345-6110
Mailing address
7041 BLACK RIDGE DR, EL PASO, TX 79912-7242
(915) 345-6110
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10063
TX
Other
Enumeration date
12/10/2015
Last updated
12/08/2022
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