Individual
RICHARD RAUL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
7207 BIRCH STAGE, SAN ANTONIO, TX 78244-2340
(210) 860-2124
Mailing address
7207 BIRCH STAGE, SAN ANTONIO, TX 78244-2340
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85741
TX
133VN1004X
Pediatric Nutrition Registered Dietitian
DT85741
TX
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
DT85741
TX
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
DT85741
TX
Other
Enumeration date
08/02/2021
Last updated
10/22/2024
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