Individual
ANTONIO R GONZALEZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
605 W CLAYTON ST STE H, DAYTON, TX 77535-2665
(936) 257-9611
(936) 257-9672
Mailing address
3818 DECKER DR, BAYTOWN, TX 77520-1662
(281) 424-7557
(281) 424-7567
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2158942
TX
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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