Organization
MARY A. GONZALES, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH LEE (MANAGER)
(817) 284-9850
Entity
Organization
Contact information
Practice address
919 E 32ND ST, AUSTIN, TX 78705-2703
(512) 544-5116
(512) 544-8658
Mailing address
PO BOX 678273, DALLAS, TX 75267-8273
(817) 284-9850
(817) 284-9859
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L2903
TX
Other
Enumeration date
03/15/2006
Last updated
06/24/2015
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