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General NPI Number Information
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NPI Number | 1942697172
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Entity Type | Organization
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Legal Business Name | THE DOCTORS GONZALEZ, PLLC
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Dates
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Enumeration Date | 04/27/2015
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Last Update Date | 05/08/2015
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Provider Practice Location Address
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Address Line | 3900 N 10TH ST STE 930
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City | MCALLEN
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State | TX
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Zip | 78501-1705
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Country | US
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Telephone | 956-627-4904
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 N 10TH ST STE 930
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City | MCALLEN
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State | TX
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Zip | 78501-1705
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Country | US
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Telephone | 956-627-4904
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TOMAS A GONZALEZ
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Credential | M.D.
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Telephone | 956-627-4904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | J6114
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License Number State | TX
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