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Individual

ILEANA GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
6400 FANNIN STREET,, SUITE 2130, HOUSTON, TX 77030
(713) 383-6400
(713) 383-6401
Mailing address
6400 FANNIN STREET,, SUITE 2130, HOUSTON, TX 77030
(713) 383-6400
(713) 383-6401

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
769737
TX

Other

Enumeration date
08/07/2012
Last updated
08/07/2012
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