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Individual

CLEMENTE GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP- BC

Contact information

Practice address
2121 E GRIFFIN PKWY STE 11, MISSION, TX 78572-3072
(956) 580-3350
(956) 580-7925
Mailing address
2121 E GRIFFIN PKWY STE 11, MISSION, TX 78572-3072
(956) 580-3350
(956) 580-7925

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2015009023
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP129185
TX

Other

Enumeration date
10/24/2015
Last updated
06/09/2016
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