Individual
DR. CELESTE GUADALUPE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16349
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49349393
DMV
TX
Enumeration date
01/02/2023
Last updated
01/08/2024
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