Individual
DR. ROBERT MEDELL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 DALLAS ST, SAN ANTONIO, TX 78205-1201
(210) 297-7000
Mailing address
17460 IH 35 N, # 160-155, SCHERTZ, TX 78154-1243
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
K3206
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031150801
—
TX
05
—
031150803
—
TX
05
—
031150804
—
TX
05
—
031150805
—
TX
05
—
031150806
—
TX
Enumeration date
04/25/2006
Last updated
10/08/2008
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