Individual
DR. SARA Y GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3226 REID DR, CORPUS CHRISTI, TX 78404-2519
(361) 853-4503
Mailing address
3226 REID DR, CORPUS CHRISTI, TX 78404-2519
(361) 853-4503
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
P9355
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336676701
—
TX
Enumeration date
04/20/2009
Last updated
06/12/2015
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