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Individual

GONZALO V GONZALEZ STAWINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3900 JUNIUS ST, SUITE #605, DALLAS, TX 75246-1615
(214) 820-7100
(214) 820-6863
Mailing address
3900 JUNIUS ST, SUITE #605, DALLAS, TX 75246-1615
(214) 820-7100
(214) 820-6863

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35087946
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
P2654
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2670006
OH
05
301794901
TX
Enumeration date
08/05/2006
Last updated
09/21/2023
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