Individual
MR. EFRAIN GONZALEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1205 N RAUL LONGORIA RD STE H, SAN JUAN, TX 78589-3721
(566) 702-0444
(956) 702-3332
Mailing address
1201 W UNIVERSITY DR, EDINBURG, TX 78539-2909
(956) 665-7049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16567
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/21/2022
Last updated
06/29/2023
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