Individual
MRS. M ANTONIETA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 N SAN SABA, #1075, SAN ANTONIO, TX 78207-3154
(210) 223-3543
(210) 227-0282
Mailing address
PO BOX 120427, SAN ANTONIO, TX 78212-0427
(210) 223-3543
(210) 227-0282
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J1521
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120539505
—
TX
Enumeration date
04/18/2006
Last updated
11/11/2011
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