Individual
MR. FIDENCIO GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14800 SAN PEDRO AVE, SUITE 202, SAN ANTONIO, TX 78232-3733
(210) 582-6600
(210) 582-6601
Mailing address
19141 STONE OAK PKWY STE 104, SAN ANTONIO, TX 78258-3367
(210) 268-0129
(210) 311-4609
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03153
TX
363AM0700X
Medical Physician Assistant
PA03153
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA03153
LICENSE
—
Enumeration date
11/21/2006
Last updated
06/15/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us