Individual
EDMOND T. GONZALES
Active
Individual
EDMOND T. GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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