Individual
LISA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-4877
Mailing address
13326 GALICIA, UNIVERSAL CITY, TX 78148-2709
(210) 325-7992
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
594827
TX
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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