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NPI Code Detail

MEDICARE: MR. ENRIQUE GONZALEZ JR. PA-C

MEDICARE: MR. ENRIQUE GONZALEZ JR. PA-C
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
1363A00000XPhysician AssistantPA02877TX
2363A00000XPhysician Assistant56027CA
3363A00000XPhysician Assistant009346NY

General Provider Information

NPI Number : 1548393697
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ENRIQUE GONZALEZ JR. PA-C
Provider Business Mailing Address
First Line : 3708 S J ST
Second Line :
City : MCALLEN
State : TX
Zip : 78503-1432
Country : US
Telephone Number : 956-821-2800
Fax Number :
Provider Business Practice Location Address
First Line : 333 1ST ST STE A
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94105-2661
Country : US
Telephone Number : 888-803-3370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 04/20/2026

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