Individual
DR. DAGOBERTO I GONZALEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7109 BARTLETT AVE SUTE 101, LAREDO, TX 78041
(956) 717-5775
(956) 717-5875
Mailing address
7109 BARTLETT AVE SUTE 101, LAREDO, TX 78041
(956) 717-5775
(956) 717-5875
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K3902
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1654683-01
—
TX
01
—
8M7440
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/10/2005
Last updated
06/06/2019
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