Individual
DR. JUAN J GONZALEZ-DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
909 JAMES ST, SUITE A, WESLACO, TX 78596-4209
(956) 968-0802
(956) 969-3242
Mailing address
909 JAMES ST, SUITE A, WESLACO, TX 78596-4209
(956) 968-0802
(956) 969-3242
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J0397
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J97Q
BCBSTX
TX
01
—
111667100
VALLEY HEALTH PLANS
TX
01
—
113743
TX CHIP
TX
05
—
123302504
—
TX
01
—
8X7430
BCBSTX
TX
01
—
P00128152
MEDICARE RAILROAD
TX
Enumeration date
05/31/2006
Last updated
07/08/2007
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