Individual
JESUS CRUZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
4714 GAVLICK FARM, SAN ANTONIO, TX 78244-1328
(210) 251-6233
(210) 201-8107
Mailing address
4714 GAVLICK FARM, SAN ANTONIO, TX 78244-1328
(210) 251-6233
(210) 201-8107
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80311
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80311
HEARING AID FITTER AND DISPENSOR
TX
Enumeration date
01/06/2009
Last updated
12/20/2012
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