Organization
OBSTETRICS AND GYNECOLOGY ASSOCIATES OF LAREDO, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAGOBERTO I GONZALEZ JR. MD (OWNER)
(956) 717-5775
Entity
Organization
Contact information
Practice address
7109 NORTH BARTLETT AVE SUTE 101, LAREDO, TX 78041-6473
(956) 717-5775
(956) 717-5875
Mailing address
7109 NORTH BARTLETT AVE SUTE 101, LAREDO, TX 78041-6473
(956) 717-5775
(956) 717-5875
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016LM
BLUE CROSS BLUE SHIELD
TX
05
—
1654675-01
—
TX
Enumeration date
11/09/2005
Last updated
07/03/2019
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