Individual
DR. DORA L. GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 HAYS ST, B, LULING, TX 78648-3207
(512) 324-1000
Mailing address
PO BOX 204237, DALLAS, TX 75320-4237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F9485
TX
207Q00000X
Family Medicine Physician
MD60340257
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102686601
—
TX
01
—
327159YSH2
PTAN
—
Enumeration date
12/22/2005
Last updated
05/12/2015
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