MEDICARE: ARTURO 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	208600000X	Surgery Physician	N3680	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8ER683	OTHER	TX	BLUE CROSS BLUE SHIELD
2	8GDD813	OTHER	TX	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184876773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTURO GABRIEL GONZALEZ MD

Provider Business Mailing Address
First Line	:	2222 GREENHOUSE RD
Second Line	:	STE 1800
City	:	HOUSTON
State	:	TX
Zip	:	77084-7855
Country	:	US
Telephone Number	:	713-463-4005
Fax Number	:	281-392-5205

Provider Business Practice Location Address
First Line	:	605 E SAN ANTONIO ST STE 510E
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77901-6011
Country	:	US
Telephone Number	:	361-576-9342
Fax Number	:	361-576-9353

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

Provider Enumeration Date	:	10/15/2008
Last Update Date	:	06/30/2024

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