Individual
JESUS R GONZALEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1901 S 1ST ST STE 600, MCALLEN, TX 78503-1228
(956) 631-6136
(956) 631-6136
Mailing address
1901 S 1ST ST STE 600, MCALLEN, MCALLEN, TX 78503-1228
(956) 631-6136
(956) 631-6136
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07786
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335076101
—
TX
01
—
PA07786
TEXAS MEDICAL BOARD
TX
Enumeration date
07/06/2012
Last updated
11/19/2015
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