Individual
DR. VICTOR MANUEL GONZALEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 PAPPAS ST, LAREDO, TX 78041-1705
(956) 795-8100
Mailing address
3501 MILLS AVE, AUSTIN, TX 78731-6309
(512) 324-2036
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R4707
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10054455
TX
Other
Enumeration date
05/26/2015
Last updated
10/03/2022
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