Healthcare Provider Details

I. General information

NPI: 1932167889
Provider Name (Legal Business Name): DAVID GONZALEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 05/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8026 FLOYD CURL DR
SAN ANTONIO TX
78229-3915
US

IV. Provider business mailing address

7711 LOUIS PASTEUR DR STE 707
SAN ANTONIO TX
78229-3422
US

V. Phone/Fax

Practice location:
  • Phone: 210-575-8229
  • Fax: 210-575-8127
Mailing address:
  • Phone: 210-575-7828
  • Fax: 866-741-3697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberK5543
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: