Individual
GONZALO VENEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1135 N BISHOP AVE, DALLAS, TX 75208-4114
(214) 942-3100
(214) 942-8030
Mailing address
1135 N BISHOP AVE, DALLAS, TX 75208-4114
(214) 942-3100
(214) 942-8030
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H6974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097866001
—
TX
Enumeration date
07/09/2006
Last updated
12/27/2012
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