Individual
TEDDY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11546 RYAN MANOR DR, RICHMOND, TX 77406-3994
(713) 670-6261
Mailing address
11546 RYAN MANOR DR, RICHMOND, TX 77406-3994
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0911090082
ZZ
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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