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NPI Code Detail

MEDICARE: MRS. MARIA GONZALEZ BIDO CMA

MEDICARE:  MRS. MARIA  GONZALEZ BIDO  CMA
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1255176111
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA GONZALEZ BIDO CMA
Provider Business Mailing Address
First Line : 2760 E TRYNITY MILLS RD, SUITE 106
Second Line :
City : CARROLLTON
State : TX
Zip : 75006
Country : US
Telephone Number : 917-242-8187
Fax Number : 469-892-5575
Provider Business Practice Location Address
First Line : 2760 E TRYNITY MILLS RD, SUITE 106
Second Line :
City : CARROLLTON
State : TX
Zip : 75006
Country : US
Telephone Number : 469-892-5604
Fax Number : 469-892-5575
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2024
Last Update Date : 07/01/2024

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Directions to “ MRS. MARIA GONZALEZ BIDO CMA” Practice Location

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