Individual
KYLE ANDREW GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1920 COUNTRY PLACE PKWY STE 130, PEARLAND, TX 77584-2152
(800) 404-6050
Mailing address
PO BOX 700688, SAN ANTONIO, TX 78270-0688
(800) 404-6050
(866) 313-3397
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
15918
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15918
CHIROPRACTIC LICENSE
TX
Enumeration date
03/04/2024
Last updated
03/04/2024
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