Organization
GALENO HEALTH PA
Active
Other names
Laguna Vista Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUE GONZALEZ M.D. (DIRECTOR)
(956) 825-0410
Entity
Organization
Contact information
Practice address
711 SANTA ISABEL BLVD, LAGUNA VISTA, TX 78578-2647
(956) 825-0410
(956) 825-0413
Mailing address
PO BOX 11187, BELFAST, ME 04915-4002
(956) 825-0410
(956) 825-0413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P2860
TX
Other
Enumeration date
05/07/2012
Last updated
08/28/2012
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