| Alfredo V. Gonzalez, M.d.,p.a. | |
|
1301 W Sam Houston Blvd Unit A Pharr TX 78577-5669 | |
| (956) 702-3600 | |
| (956) 702-3606 |
| Full Name | Alfredo V. Gonzalez, M.d.,p.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1301 W Sam Houston Blvd Unit A, Pharr, Texas |
| Authorized Official Name and Position | Alfredo V. Gonzalez (PHYISICAN/OWNER) |
| Authorized Official Contact | 9567023600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alfredo V. Gonzalez, M.d.,p.a. 1301 W Sam Houston Blvd Unit A Pharr TX 78577-5669 Ph: (956) 702-3600 | Alfredo V. Gonzalez, M.d.,p.a. 1301 W Sam Houston Blvd Unit A Pharr TX 78577-5669 Ph: (956) 702-3600 |
| NPI Number | 1851342398 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 03/10/2020 |
| Medicare PECOS PAC ID | 2567511090 |
|---|---|
| Medicare Enrollment ID | O20090512000578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851342398 | NPI | - | NPPES |
| 160945501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Alfredo V Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376593905 PECOS PAC ID: 5890744296 Enrollment ID: I20090512000549 |
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