Individual
JORGE ANTONIO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5010 E 68TH ST STE 102, TULSA, OK 74136-3341
(918) 236-5881
(918) 236-5885
Mailing address
5010 E 68TH ST STE 102, TULSA, OK 74136-3341
(918) 236-5881
(918) 236-5885
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
19558
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100020260C
—
OK
Enumeration date
05/20/2006
Last updated
06/11/2019
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