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Individual

MS. ANGELICA GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4304 ANDREWS HWY, MIDLAND, TX 79703-4824
(432) 520-3020
(432) 699-1981
Mailing address
4304 ANDREWS HWY, MIDLAND, TX 79703-4824
(432) 520-3020
(432) 699-1981

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
339245801
TX
01
8586NH
BCBS
TX
Enumeration date
12/19/2011
Last updated
07/20/2016
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