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Individual

ADAM CLEMENTE GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4505 ALBERTA AVE, EL PASO, TX 79905-2727
(915) 532-1447
Mailing address
4505 ALBERTA AVE, EL PASO, TX 79905-2727

Taxonomy

Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
T4926
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
BP10063421
TX

Other

Enumeration date
06/06/2018
Last updated
07/10/2023
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