Individual
DR. VERA A GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
14100 SOUTHWEST FWY, 360, SUGAR LAND, TX 77478-3466
(713) 922-4850
(713) 583-5282
Mailing address
PO BOX 1665, LEAGUE CITY, TX 77574-1665
(713) 922-4850
(713) 583-5282
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31408
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000011GT
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/01/2006
Last updated
04/27/2010
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