Individual
CARLOS MANUEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
512 PALMARY DR, EL PASO, TX 79912-2816
(915) 383-2273
(888) 886-9095
Mailing address
512 PALMARY DR, EL PASO, TX 79912-2816
(915) 383-2273
(888) 886-9095
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC5258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC5258
LICENSE NUMBER
TX
Enumeration date
10/23/2006
Last updated
08/09/2024
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