Individual
DR. CELESTE GUADALUPE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(608) 487-4330
Mailing address
456 SILVER BUCKLE, SCHERTZ, TX 78154-3500
(608) 487-4330
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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