Individual
DR. HECTOR LUIS SANTIAGO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2005 W PARK DR STE 200, IRVING, TX 75061-2034
(214) 358-2300
(214) 579-6984
Mailing address
1505 LBJ FWY STE 700, DALLAS, TX 75234-6065
(214) 358-2300
(214) 579-6941
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
V0534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V0534
MEDICAL LICENSE
TX
Enumeration date
09/08/2016
Last updated
07/11/2024
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