Individual
MICHAEL R GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M4101
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181381803
—
TX
01
—
8CU331
BCBS
TX
01
—
8V3734
BCBS
TX
01
—
P00325412
RAILROAD MEDICARE
TX
01
—
P00948200
RAILROAD
TX
Enumeration date
06/15/2006
Last updated
02/10/2022
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