Organization
ADVANCED CENTER FOR WELNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE A GONZALEZ JR. (OWNER)
(956) 727-2629
Entity
Organization
Contact information
Practice address
6801 MCPHERSON RD STE 213, LAREDO, TX 78041
(956) 717-2629
(956) 727-4629
Mailing address
6801 MCPHERSON RD STE 213, LAREDO, TX 78041
(956) 717-2629
(956) 727-4629
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TX
225100000X
Physical Therapist
—
TX
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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