MEDICARE: DR. MAURICIO GONZALEZ ARIAS 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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	T7929	TX

General Provider Information

NPI Number	:	1154706042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAURICIO GONZALEZ ARIAS MD

Provider Business Mailing Address
First Line	:	211 E 7TH ST STE 700
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-3218
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 W WILLIAM CANNON DR STE 205
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-5288
Country	:	US
Telephone Number	:	512-548-0465
Fax Number	:	737-707-3908

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

Provider Enumeration Date	:	07/21/2015
Last Update Date	:	12/08/2022

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