Individual
ANGIE T GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
3910 GASTON AVE, DALLAS, TX 75246-1511
(214) 827-2021
(214) 823-5462
Mailing address
3910 GASTON AVE, DALLAS, TX 75246-1511
(214) 827-2021
(214) 823-5462
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
LPO 1271
TX
224P00000X
Prosthetist
Primary
LPO 1271
TX
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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