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Individual

DR. FERNANDO GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
(325) 658-1511
(325) 481-2166
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F4007
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133182912
TX
01
8X3076
BCBS
TX
01
F4007
LICENSE
TX
Enumeration date
04/06/2006
Last updated
03/04/2014
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