Individual
TRACY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 N CONWAY AVE STE F, MISSION, TX 78572-2926
(956) 580-4040
(956) 580-4915
Mailing address
1811 N OAK ST, ALTON, TX 78573-4018
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
34467
TX
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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