Individual
DR. JAIME RENE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2634 S CARRIER PKWY, 101, GRAND PRAIRIE, TX 75052-5070
(972) 641-0011
Mailing address
2634 S CARRIER PKWY STE 101, GRAND PRAIRIE, TX 75052-5005
(972) 641-0011
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6968T
TX
Other
Enumeration date
08/30/2006
Last updated
02/29/2008
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