Individual
DR. URI L GONIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2003 PATTERSON DR, VICTORIA, TX 77901-5645
(361) 575-5021
(361) 575-0623
Mailing address
2003 PATTERSON DR, VICTORIA, TX 77901-5645
(361) 575-5021
(361) 575-0623
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-0099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038947001
—
TX
01
—
4308984
AETNA
TX
01
—
81602P
BLUECROSSBLUESHIELD
TX
Enumeration date
10/03/2006
Last updated
02/19/2013
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