Individual
ANTONIO BENJAMIN GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
5726 W HAUSMAN RD STE 109, SAN ANTONIO, TX 78249-1651
(210) 349-7030
(210) 349-7030
Mailing address
12200 WARE SEGUIN RD, SCHERTZ, TX 78154-6051
(210) 718-1110
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
712685
TX
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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