Individual
GONZALO SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT(R)
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
9113 LONGHORN PARK, CONVERSE, TX 78109-2816
(928) 366-0191
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
GMR02002128
TX
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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