Individual
MARK RENE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3904 BLUE JAY DR, MISSION, TX 78572-4882
(956) 451-8246
Mailing address
3904 BLUE JAY DR, MISSION, TX 78572-4882
(956) 451-8246
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
35087
TX
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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