MEDICARE: GABRIEL GONZALEZ 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
1	2086S0129X	Vascular Surgery Physician	T3955	TX

General Provider Information

NPI Number	:	1134516016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIEL GONZALEZ MD

Provider Business Mailing Address
First Line	:	PO BOX 2975
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78502-2975
Country	:	US
Telephone Number	:	956-362-8170
Fax Number	:	956-362-8168

Provider Business Practice Location Address
First Line	:	5423 S MCCOLL RD
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-9183
Country	:	US
Telephone Number	:	956-362-8170
Fax Number	:	956-362-8168

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2015
Last Update Date	:	04/27/2026

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