Individual
WALDO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
302 MEDICAL PARK DR, SUITE 101, LUFKIN, TX 75904-3148
(936) 634-8216
(936) 634-8723
Mailing address
PO BOX 150507, LUFKIN, TX 75915-0507
(936) 634-8216
(936) 634-8723
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D2889
TX
208600000X
Surgery Physician
Primary
D2889
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138116203
—
TX
01
—
E327
BLUE CROSS
TX
Enumeration date
01/11/2007
Last updated
07/01/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us