Individual
ENRIQUE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3217 MABEL ST, SHREVEPORT, LA 71103
(318) 631-9121
(318) 631-9126
Mailing address
3217 MABEL ST, SHREVEPORT, LA 71103-4022
(318) 631-9121
(318) 638-6018
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
03991R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1436984
—
LA
Enumeration date
07/17/2006
Last updated
06/22/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us