Organization
ALTBA,P.A.
Active
Other names
Luis A. Gonzalez,M.D., P.A., Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS ALFREDO GONZALEZ M.D. (PHYSICIAN OWNER)
(956) 425-6500
Entity
Organization
Contact information
Practice address
1821 SESAME DRIVE, SUITE#8, HARLINGEN, TX 78550
(956) 425-6500
(956) 425-6501
Mailing address
1821 SESAME DRIVE, SUITE#8, HARLINGEN, TX 78550
(956) 425-6500
(956) 425-6501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L0213
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00838T
BLUE CROSS BLUE SHIELD
TX
05
—
152198101
—
TX
Enumeration date
05/23/2006
Last updated
10/08/2009
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