Organization
VENEGAS MEDICAL FOUNDATION
Active
Other names
Angeles Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GONZALO VENEGAS M.D. (OWNER)
(214) 942-3100
Entity
Organization
Contact information
Practice address
8 MEDICAL PARKWAY, PLAZA 2 SUITE 310, DALLAS, TX 75234
(214) 333-2366
Mailing address
8 MEDICAL PARKWAY, PLAZA 2 SUITE 310, DALLAS, TX 75234
(214) 333-2366
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
H6974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2076721-01
—
TX
Enumeration date
07/09/2009
Last updated
05/08/2015
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