Individual
MICHAEL GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101261654
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
T7573
TX
207RP1001X
Pulmonary Disease Physician
0101261654
VA
207RP1001X
Pulmonary Disease Physician
T7573
TX
Other
Enumeration date
06/18/2015
Last updated
06/10/2024
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