Organization
ADVANCED CENTER FOR WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ANGEL GONZALEZ JR. (OWNER)
(956) 727-2629
Entity
Organization
Contact information
Practice address
6801 MCPHERSON RD STE 213, LAREDO, TX 78041-6443
(956) 727-2629
Mailing address
6801 MCPHERSON RD STE 213, LAREDO, TX 78041-6443
(956) 727-2629
(956) 727-4629
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
207Q00000X
TX
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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