Individual
MR. JIMMY GAMEZ GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 E SPRAGUE ST, EDINBURG, TX 78542-5260
(956) 362-8383
(956) 362-8382
Mailing address
PO BOX 4624, MCALLEN, TX 78502-4624
(956) 362-8383
(956) 362-8382
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
P3159
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313174003
—
TX
01
—
313174004
MEDICAID CSHCN PROGRAM
TX
Enumeration date
04/07/2010
Last updated
09/17/2025
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