MEDICARE: DR. GILBERT GONZALES JR. D.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
1	111N00000X	Chiropractor	7403	TX

General Provider Information

NPI Number	:	1568581007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GILBERT GONZALES JR. D.C.

Provider Business Mailing Address
First Line	:	8702 EAGLE PEAK
Second Line	:
City	:	HELOTES
State	:	TX
Zip	:	78023-4382
Country	:	US
Telephone Number	:	210-695-4754
Fax Number	:

Provider Business Practice Location Address
First Line	:	1931 NW MILITARY HWY STE 131
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-2156
Country	:	US
Telephone Number	:	210-541-8965
Fax Number	:	210-541-8964

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. GILBERT GONZALES JR. D.C.” Practice Location

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