Organization
GONZALES HEALTH AND REHAB CLINICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK GONZALES JR. D.C. (OWNER/CHIROPRACTOR)
(432) 580-7007
Entity
Organization
Contact information
Practice address
801 N GRANT AVE, ODESSA, TX 79761-4045
(432) 580-3700
(432) 580-3707
Mailing address
801 N GRANT AVE, ODESSA, TX 79761-4045
(432) 580-3700
(432) 580-3707
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
9356
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8V1760
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/17/2006
Last updated
05/07/2008
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