Organization
GALENO HEALTH PA
Active
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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