Individual
MANUEL J GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 CORPUS CHRISTI ST, LAREDO, TX 78040-5258
(956) 727-8470
(956) 727-4933
Mailing address
1101 CORPUS CHRISTI ST, LAREDO, TX 78040-5258
(956) 727-8470
(956) 727-4933
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
E4356
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000T279
—
TX
Enumeration date
10/24/2006
Last updated
02/26/2013
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