Individual
JESUS MESA GONZALEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1510 HANNA VALLEY RD, GOLDTHWAITE, TX 76844-2533
(325) 648-2263
(325) 648-6303
Mailing address
6912 FM 1488 RD, STE A, MAGNOLIA, TX 77354-1527
(281) 356-1945
(281) 356-1978
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04958
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA04958
TEXAS MEDICAL BOARD
TX
Enumeration date
09/25/2007
Last updated
11/08/2021
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