Individual
CARMEN E GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K5964
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300117950
RR MEDICARE
TX
05
—
47344901
—
TX
01
—
8A2835
BCBS
TX
Enumeration date
09/20/2006
Last updated
08/05/2024
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