Individual
ISMAEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6101 WINDHAVEN PKWY STE 145, PLANO, TX 75093-8198
(972) 473-8980
Mailing address
PO BOX 733352, DALLAS, TX 75373-3352
(972) 473-8980
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14504
TX
Other
Enumeration date
09/20/2020
Last updated
11/16/2021
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