| Dr. G Clinic, Pllc | |
|
4913 Rufe Snow Dr Ste 102 North Richland Hills TX 76180-7856 | |
| (275) 636-4877 | |
| Not Available |
| Full Name | Dr. G Clinic, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4913 Rufe Snow Dr Ste 102, North Richland Hills, Texas |
| Authorized Official Name and Position | Mario G Gonzalez (OWNER) |
| Authorized Official Contact | 5756364877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. G Clinic, Pllc 1032 Valle Vista Ln Keller TX 76248-4050 Ph: (575) 636-4877 | Dr. G Clinic, Pllc 4913 Rufe Snow Dr Ste 102 North Richland Hills TX 76180-7856 Ph: (275) 636-4877 |
| NPI Number | 1588193452 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 06/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588193452 | NPI | - | NPPES |
| 329998401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | P4959 (Texas) | Primary |
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