Individual
MR. ROBERT GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
6521 LONG MEADOW DRIVE, UNIT C, CORPUS CHRISTI, TX 78413
(361) 728-6374
Mailing address
1818 TROJAN DRIVE, CORPUS CHRISTI, TX 78416
(361) 854-3261
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1169
TX
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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