Individual
DR. ELOISA THELMA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 LAKESIDE BLVD, BROWNSVILLE, TX 78520-7616
(956) 542-7999
(956) 544-5059
Mailing address
825 LAKESIDE BLVD, BROWNSVILLE, TX 78520-7616
(956) 542-7999
(956) 544-5059
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H4829
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092722001
—
TX
05
—
092722002
—
TX
01
—
742995152
TAX ID
TX
Enumeration date
11/16/2005
Last updated
08/13/2008
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