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Individual

HERBERT FRANCISCO GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 531-4500
(903) 531-5448
Mailing address
PO BOX 5500, TYLER, TX 75712-5500
(903) 324-6400

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H6249
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8U8517
BCBS
TX
01
9202015
MULTIPLAN/PHCS
TX
01
TAX ID & 042 LOCATIO
TRICARE
TX
Enumeration date
02/10/2006
Last updated
12/30/2008
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