Individual
PAUL ALAN GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, MCHE-QD (CREDS), JBSA FT SAM HOUSTON, TX 78234
(210) 916-2460
Mailing address
3551 ROGER BROOKE DR, MCHE-QD (CREDS), JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-2460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101261696
VA
207RH0003X
Hematology & Oncology Physician
Primary
0101261696
VA
208D00000X
General Practice Physician
0101261696
VA
Other
Enumeration date
05/21/2015
Last updated
06/28/2021
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