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Organization

FOOT SPECIALISTS OF EL PASO

Active
Other names
Dr. Juan A . Gonzalez D/B/A Foot Specialists of El Paso
Organization subpart
No

Provider details

NPI number
Authorized official
JUAN A. GONZALEZ D.M.P. (PODIATRIST)
(915) 577-0744
Entity
Organization

Contact information

Practice address
1501 N MESA ST, SUITE 104, EL PASO, TX 79902-4046
(915) 577-0744
(915) 577-0271
Mailing address
5959 GATEWAY BLVD W, SUITE 120, EL PASO, TX 79925-3331
(915) 779-1716
(915) 779-1754

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1282
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Z00059AH7
TX
Enumeration date
06/14/2006
Last updated
12/16/2008
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