Individual
GEOFFREY M GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
3110 NOGALITOS STE 105, SAN ANTONIO, TX 78225-2337
(210) 533-0257
(210) 534-0890
Mailing address
3110 NOGALITOS STE 105, SAN ANTONIO, TX 78225-2337
(210) 533-0257
(210) 534-0890
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP118923
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3138232
—
TX
01
—
AP118923
APRN LICENSE
TX
Enumeration date
03/29/2010
Last updated
04/14/2020
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