Individual
GONZALO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6051 GARTH RD, BAYTOWN, TX 77521-9890
(832) 695-2020
Mailing address
2942 GESSNER RD, HOUSTON, TX 77080-2506
(832) 425-5857
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME66849
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25793
BLUECROSS BLUESHIELD
FL
05
—
375751000
—
FL
Enumeration date
05/24/2005
Last updated
06/25/2019
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