Individual
ANNY PATRICIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1055 ADA ST, SAN ANTONIO, TX 78223-1703
(210) 358-5515
(210) 358-5530
Mailing address
PO BOX 734812, DALLAS, TX 75373-4812
(210) 358-9501
(210) 358-9183
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA TEMP LICENSE
TX
363A00000X
Physician Assistant
Primary
PA07470
TX
363AM0700X
Medical Physician Assistant
PA07470
TX
Other
Enumeration date
08/30/2011
Last updated
02/08/2021
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