Individual
LUIS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
819 SPRUCEWOOD LN, SAN ANTONIO, TX 78216-6039
(210) 896-7007
Mailing address
819 SPRUCEWOOD LN, SAN ANTONIO, TX 78216-6039
(210) 896-7007
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
34222
TX
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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