Individual
GERARDO GONZALEZ-DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1400 8TH AVE BLDG A6TH, FORT WORTH, TX 76104-4110
(817) 922-1158
Mailing address
12748 HOMESTRETCH DR, FORT WORTH, TX 76244-4213
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1115119
TX
Other
Enumeration date
06/27/2023
Last updated
10/17/2023
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