Organization
JAVIER A. GONZALEZ, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER A GONZALEZ M.D (PRESIDENT)
(832) 451-9290
Entity
Organization
Contact information
Practice address
2307 4TH ST, ROSENBERG, TX 77471-5127
(832) 451-9290
(281) 232-2361
Mailing address
2307 4TH ST, ROSENBERG, TX 77471-5127
(832) 451-9290
(281) 232-2361
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K0045
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588657035
NPI INDIVIDUAL
TX
01
—
K0045
TEXAS LICENCE #
TX
Enumeration date
04/23/2007
Last updated
03/07/2023
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