| David Gonzalez,m.d.,pllc | |
|
14439 Nw Military Hwy Ste 108 Pmb 619 Shavano Park TX 78231-1646 | |
| (210) 260-0390 | |
| (210) 408-2814 |
| Full Name | David Gonzalez,m.d.,pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 14439 Nw Military Hwy, Shavano Park, Texas |
| Authorized Official Name and Position | David Gonzalez (MANAGING MEMBER) |
| Authorized Official Contact | 2102600390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Gonzalez,m.d.,pllc 14439 Nw Military Hwy Ste 108 Pmb 619 Shavano Park TX 78231-1646 Ph: (210) 260-0390 | David Gonzalez,m.d.,pllc 14439 Nw Military Hwy Ste 108 Pmb 619 Shavano Park TX 78231-1646 Ph: (210) 260-0390 |
| NPI Number | 1619358447 |
|---|---|
| Provider Enumeration Date | 06/17/2015 |
| Last Update Date | 06/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619358447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | K5543 (Texas) | Primary |
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