Individual
CARLOS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 W BLUE JAY AVE, PHARR, TX 78577-8816
(956) 475-3006
Mailing address
600 W BLUE JAY AVE, PHARR, TX 78577-8816
(956) 475-3006
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
15-562
TX
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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