Individual
MR. JAIME GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3851 ROGER BROOKE DR, MCHE-QD/CREDENTIALS, FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
(210) 916-5102
Mailing address
3851 ROGER BROOKE DR, MCHE-QD/CREDENTIALS, FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
(210) 916-5102
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1148330
TX
Other
Enumeration date
01/27/2006
Last updated
05/01/2008
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