Individual
ANTONIO VICTOR PRUDENTE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
118 LYNN AVE STE 100, LEWISVILLE, TX 75057-3706
(214) 396-8877
(214) 983-0983
Mailing address
4461 COIT RD, STE 409, FRISCO, TX 75035-0526
(214) 396-8877
(214) 983-0983
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
0101242453
VA
207RI0200X
Infectious Disease Physician
Primary
T2172
TX
Other
Enumeration date
02/12/2008
Last updated
08/21/2024
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