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Individual

SUSANNE GONZALEZ-GALLARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13300 HARGRAVE RD STE 500, HOUSTON, TX 77070
(281) 737-1167
Mailing address
13300 HARGRAVE RD STE 500, HOUSTON, TX 77070-4374
(281) 737-1167

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
ME125000
FL
2084N0400X
Neurology Physician
Primary
R8903
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015459800
FL
05
392315301
TX
Enumeration date
04/13/2010
Last updated
03/26/2019
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