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Individual

DR. NARCISO GONZALEZ III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2130 NE LOOP 410 STE 375, SAN ANTONIO, TX 78217-4659
(210) 634-1232
(210) 634-1243
Mailing address
2130 NE LOOP 410 STE 375, SAN ANTONIO, TX 78217-4661
(210) 634-1232
(210) 634-1243

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
N0799
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
N0799
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
N0799
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
214705001
TX
01
214705002
MEDICAID (CSCHN)
TX
Enumeration date
11/15/2007
Last updated
05/08/2018
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