Individual
ALLEN GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3338 EAGLE RIDGE WAY, HOUSTON, TX 77084-5531
(713) 695-3999
Mailing address
3338 EAGLE RIDGE WAY, HOUSTON, TX 77084-5531
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
—
—
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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