Individual
ELIAS GONZALEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
232 LINDBERG AVE, MCALLEN, TX 78501-2920
(956) 682-7774
Mailing address
110 SCOBEY AVE, DONNA, TX 78537-2570
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211731
TX
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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