| Luis A. Gonzalez,m.d., P.a., Family Practice | |
|
1821 Sesame Drive Suite#8 Harlingen TX 78550 | |
| (956) 425-6500 | |
| (956) 425-6501 |
| Full Name | Luis A. Gonzalez,m.d., P.a., Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1821 Sesame Drive, Harlingen, Texas |
| Authorized Official Name and Position | Luis Alfredo Gonzalez (PHYSICIAN OWNER) |
| Authorized Official Contact | 9564256500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis A. Gonzalez,m.d., P.a., Family Practice 1821 Sesame Drive Suite#8 Harlingen TX 78550 Ph: (956) 425-6500 | Luis A. Gonzalez,m.d., P.a., Family Practice 1821 Sesame Drive Suite#8 Harlingen TX 78550 Ph: (956) 425-6500 |
| NPI Number | 1356396139 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 10/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356396139 | NPI | - | NPPES |
| 00838T | Other | TX | BLUE CROSS BLUE SHIELD |
| 152198101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L0213 (Texas) | Primary |
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