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Individual

EDMOND T. GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(832) 822-3160
(832) 825-3159
Mailing address
2 GREENWAY PLZ, SUITE 900, HOUSTON, TX 77046-0297
(713) 798-1750
(713) 798-1144

Taxonomy

Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
E3181
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
136179204
TX
05
136179205
TX
01
136179206
CSHCN
TX
01
P0K069522
CSHCN
TX
Enumeration date
10/25/2006
Last updated
09/30/2008
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