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NPI Code Detail

MEDICARE: GONZALO VENEGAS MD

MEDICARE: GONZALO VENEGAS MD
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
1207V00000XObstetrics & Gynecology PhysicianH6974TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730112988
Entity Type Code : Individual
Provider Name (Legal Business Name) : GONZALO VENEGAS MD
Provider Business Mailing Address
First Line : 1135 N BISHOP AVE
Second Line :
City : DALLAS
State : TX
Zip : 75208-4114
Country : US
Telephone Number : 214-942-3100
Fax Number : 214-942-8030
Provider Business Practice Location Address
First Line : 1135 N BISHOP AVE
Second Line :
City : DALLAS
State : TX
Zip : 75208-4114
Country : US
Telephone Number : 214-942-3100
Fax Number : 214-942-8030
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 12/27/2012

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Directions to “ GONZALO VENEGAS MD” Practice Location

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