Organization
THOMAS R. GONZALES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS GONZALES (OWNER)
(702) 798-6684
Entity
Organization
Contact information
Practice address
1825 E FLAMINGO RD, LAS VEGAS, NV 89119-5107
(702) 798-6684
Mailing address
1825 E FLAMINGO RD, LAS VEGAS, NV 89119-5107
(702) 798-6684
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2427
NV
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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