Individual
JESSE G GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
5311 CYNTHIA LINN ST, SAN ANTONIO, TX 78223-2214
(210) 788-6514
Mailing address
5311 CYNTHIA LINN ST, SAN ANTONIO, TX 78223-2214
(210) 788-6514
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
12608
TX
Other
Enumeration date
05/22/2011
Last updated
12/23/2011
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