Individual
GLORIA GONZALEZ BOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1110 N. SARAH DEWITT DR, GONZALES, TX 78629-4112
(830) 672-8502
(830) 672-3035
Mailing address
PO BOX 587, GONZALES, TX 78629-0587
(830) 672-8502
(830) 672-3035
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H9811
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043630501
—
TX
Enumeration date
12/05/2005
Last updated
09/02/2016
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