Individual
CASEY ANN GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MIDWIFE
Contact information
Practice address
130 PIERSON LN, MARION, TX 78124-1604
(210) 566-5185
Mailing address
130 PIERSON LN, MARION, TX 78124-1604
(210) 566-5185
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
05019
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05019
LICENSED MIDWIFE
TX
Enumeration date
04/23/2008
Last updated
04/23/2008
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