Individual
DR. MARK S GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E RIDGE RD, SUITE #A, MCALLEN, TX 78503-1345
(956) 682-1888
(956) 661-2204
Mailing address
PO BOX 4449, MCALLEN, TX 78502-4449
(956) 362-2171
(956) 661-2204
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H0391
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143824402
—
TX
05
—
143824403
—
TX
Enumeration date
09/20/2005
Last updated
01/19/2017
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