Individual
EDUARDO JOSE GONZALEZ BONILLA
Active
Individual
EDUARDO JOSE GONZALEZ BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
S2786
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401122301
—
TX
01
—
8LMN32
BCBS
TX
Enumeration date
10/10/2014
Last updated
08/19/2022
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