Individual
HERIBERTO A GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALSD(CMC), LACKLAND A F B, TX 78236-9908
(210) 292-5786
(210) 292-7199
Mailing address
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC), LACKLAND A F B, TX 78236-9908
(210) 292-5786
(210) 292-7199
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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