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Individual

DR. ANGELICA M. GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O. D.

Contact information

Practice address
219 W KLEBERG AVE, KINGSVILLE, TX 78363-4427
(361) 592-6443
Mailing address
219 W KLEBERG AVE, KINGSVILLE, TX 78363-4427

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6530T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
174382501
TX
05
174731301
TX
01
19544
LIFE RE
TX
01
51025
DAVIS VISION
TX
01
81401Q
BCBS
TX
Enumeration date
11/23/2005
Last updated
04/05/2016
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