Individual
CARLOS G GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 261, MILES, TX 76861-0261
(325) 227-9051
Mailing address
PO BOX 261, MILES, TX 76861-0261
(325) 227-9051
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
152968
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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