Individual
CARMEN MARIE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2901 N 4TH ST, EMERGENCY DEPARTMENT, LONGVIEW, TX 75605-5128
(903) 232-3670
Mailing address
PO BOX 847176, DALLAS, TX 75284-7176
(903) 237-1800
(903) 237-1810
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
N5079
TX
Other
Enumeration date
08/20/2008
Last updated
09/04/2012
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