Organization
TEXAS COMPREHENSIVE HEALTHCARE SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR GONZALEZ MD (MEMBER)
(972) 596-3018
Entity
Organization
Contact information
Practice address
5550 LBJ FWY, STE 150, DALLAS, TX 75240-6217
(972) 596-3018
Mailing address
PO BOX 260516, PLANO, TX 75026-0516
(972) 596-3018
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M4104
TX
363AS0400X
Surgical Physician Assistant
PA07507
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M4104
TEXAS
TX
01
—
PA07507
TEXAS
TX
Enumeration date
06/06/2012
Last updated
06/08/2012
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