Individual
JOHN J GONZALEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8811 VILLAGE DR, SUITE 300, SAN ANTONIO, TX 78217-5415
(210) 651-0303
(210) 651-0302
Mailing address
PO BOX 928, SAN ANTONIO, TX 78294-0928
(210) 651-0303
(210) 651-0302
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L2284
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085170101
—
TX
Enumeration date
01/27/2006
Last updated
02/23/2012
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