Individual
DR. JONAH GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST # MSAG407Q, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
571 CONTENDERS WAY, TYLER, TX 75703-0805
(903) 343-4269
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
BP10083551
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
764496
TEXAS MEDICAL BOARD
TX
Enumeration date
04/11/2023
Last updated
04/11/2023
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