Individual
MARTIN D GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1712 N ACCESS RD, CLYDE, TX 79510
(325) 893-4010
(325) 893-4035
Mailing address
PO BOX 2435, ALBANY, TX 76430-8020
(325) 893-4010
(325) 893-4035
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
714984
TX
Other
Enumeration date
12/06/2010
Last updated
02/20/2013
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