Individual
JOSE LUIS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9400 PERRIN BEITEL RD STE 102, SAN ANTONIO, TX 78217-3511
(210) 251-4740
Mailing address
5803 LIBERTY BELL ST, SAN ANTONIO, TX 78233-5254
(432) 803-8309
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
220325
TX
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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