Organization
CATHRY J. GONZALES, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHRYN J. GONZALES M.D. (PRESIDENT)
(870) 235-1112
Entity
Organization
Contact information
Practice address
1327 N WASHINGTON, MAGNOLIA, AR 71753-2067
(870) 235-1112
(870) 235-1114
Mailing address
1327 N WASHINGTON, MAGNOLIA, AR 71753-2067
(870) 235-1112
(870) 235-1114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04D1052359
CLIA
AR
05
—
161249002
—
AR
Enumeration date
05/25/2006
Last updated
07/29/2008
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