Individual
JASON GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 670-2000
Mailing address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 670-2277
(325) 670-4040
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
863640
TX
Other
Enumeration date
11/15/2019
Last updated
03/03/2020
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