Individual
MR. JUAN ALBERTO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1501 N MESA ST, SUITE 104, EL PASO, TX 79902-4046
(915) 577-0744
(915) 577-0271
Mailing address
5959 GATEWAY BLVD W, STE 120, EL PASO, TX 79925-3331
(915) 779-1716
(915) 779-1754
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1282
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109394001
—
TX
Enumeration date
06/23/2006
Last updated
12/16/2008
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