DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LIBERTY ADELE GONZALES M.S. CCC-SLP

MEDICARE: LIBERTY ADELE GONZALES M.S. CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist101561TX

General Provider Information

NPI Number : 1003930926
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIBERTY ADELE GONZALES M.S. CCC-SLP
Provider Business Mailing Address
First Line : 1323 CIRCLE H DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-8500
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1323 CIRCLE H DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-8500
Country : US
Telephone Number : 210-265-1630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1477570653 — WAL-MART STORES TEXAS LLC
Practice Location Address:
8500 JONES MALTSBERGER RD
SAN ANTONIO, TX
78216-5913
Practice Phone: 210-377-3139
Practice Fax:
1528169042 — WAL-MART STORES TEXAS, LP
Practice Location Address:
8500 JONES MALTSBERGER RD
SAN ANTONIO, TX
78216-5913
Practice Phone: 210-377-1899
Practice Fax:
1417266909 — DR. DRAKE DUDLEY PHARM.D.
Practice Location Address:
8500 JONES MALTSBERGER RD
SAN ANTONIO, TX
78216-5913
Practice Phone: 210-377-3139
Practice Fax:
1457800286 — DAVID VAN BUSKIRK R.PH.
Practice Location Address:
8500 JONES MALTSBERGER RD
SAN ANTONIO, TX
78216-5913
Practice Phone: 210-377-3139
Practice Fax: 210-377-2953
1689274748 — UYEN HO
Practice Location Address:
8500 JONES MALTSBERGER RD
SAN ANTONIO, TX
78216-5913
Practice Phone: 210-377-3139
Practice Fax:
1902598485 — JOEL ARCOS ABO
Practice Location Address:
8500 JONES MALTSBERGER RD
SAN ANTONIO, TX
78216-5913
Practice Phone: 210-377-3429
Practice Fax:

Directions to “ LIBERTY ADELE GONZALES M.S. CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.