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Individual

ELISSA PRADO GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12005 FM 2244 RD, AUSTIN, TX 78738-6385
(512) 225-0766
Mailing address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-3910
(210) 704-4922

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
S2785
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/23/2016
Last updated
08/05/2020
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