Individual
GARY A GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 N MONROE ST, BEEVILLE, TX 78102-4433
(210) 835-4630
(361) 358-1861
Mailing address
401 N MONROE ST, BEEVILLE, TX 78102-4433
(361) 358-1855
(361) 358-1861
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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