Organization
GONZALES PSYCHIATRIC SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY MARK GONZALES PMHNP (OWNER)
(210) 482-9913
Entity
Organization
Contact information
Practice address
4943 ZULEMA AVE, SAN ANTONIO, TX 78237-2445
(210) 482-9913
Mailing address
7400 BARLITE BLVD, SAN ANTONIO, TX 78224-1308
(210) 482-9913
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
638567
TX
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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