| Peter C. W. Gonzales, M.d., P.a. | |
|
3204 N Macarthur Blvd Suite B Irving TX 75062-4453 | |
| (972) 870-5500 | |
| (972) 870-5504 |
| Full Name | Peter C. W. Gonzales, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3204 N Macarthur Blvd, Irving, Texas |
| Authorized Official Name and Position | Peter Chan Wong Gonzales (PRESIDENT) |
| Authorized Official Contact | 9728705500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter C. W. Gonzales, M.d., P.a. 3204 N Macarthur Blvd Suite B Irving TX 75062-4453 Ph: (972) 870-5500 | Peter C. W. Gonzales, M.d., P.a. 3204 N Macarthur Blvd Suite B Irving TX 75062-4453 Ph: (972) 870-5500 |
| NPI Number | 1558313643 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 07/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558313643 | NPI | - | NPPES |
| 0053BF | Other | TX | BLUE CROSS BLUE SHIELD |
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