Individual
DR. JAIME GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4800 ALBERTA AVE, EL PASO, TX 79905-2709
(915) 545-6616
Mailing address
574 RIVER VALLEY ST, EL PASO, TX 79915-4829
(915) 539-8286
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP10040409
TX
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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