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Individual

DR. ANGEL MARIO MORALES GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10400 VISTA DEL SOL DR, SUITE 101, EL PASO, TX 79925-7945
(915) 422-7346
(915) 503-2292
Mailing address
1941 W T C JESTER BLVD # 102, HOUSTON, TX 77008-1200
(713) 777-5476

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
56176
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N0289
TX MEDICAL LIC
Enumeration date
07/12/2007
Last updated
02/08/2021
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