Individual
MR. DANIEL TAMEZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2717 MICHAELANGELO DR STE 200, EDINBURG, TX 78539-1412
(956) 362-3780
(956) 362-3793
Mailing address
PO BOX 749, PHARR, TX 78577-1614
(956) 362-3780
(956) 362-3793
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08951
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337880401
—
TX
05
—
337880402
—
TX
01
—
343108YLPS
WELLMED PTAN
TX
Enumeration date
03/20/2014
Last updated
11/03/2020
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