Individual
MR. FIDEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RN, ACNPC-AG
Contact information
Practice address
755 N 11TH ST, SUITE P-3950, BEAUMONT, TX 77702-1500
(409) 892-0099
(409) 892-1911
Mailing address
755 N 11TH ST, STE P3950, BEAUMONT, TX 77702-1527
(409) 892-0099
(409) 892-1911
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP132432
TX
Other
Enumeration date
10/31/2016
Last updated
01/05/2017
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