Individual
JAMES D GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 W SOUTHLAKE BLVD, STE. 100, SOUTHLAKE, TX 76092-6172
(817) 540-3121
(817) 355-4511
Mailing address
400 BORDERS CT, SOUTHLAKE, TX 76092-9425
(817) 481-2012
(817) 355-4511
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G8134
TX
Other
Enumeration date
11/07/2005
Last updated
07/08/2007
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