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NPI Code Detail

MEDICARE: DR. MICHAEL GEORGE GONZALEZ M.D.

MEDICARE:  DR. MICHAEL GEORGE GONZALEZ  M.D.
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
1207P00000XEmergency Medicine Physician01056550AIN
2207P00000XEmergency Medicine PhysicianM8001TX

General Provider Information

NPI Number : 1740265982
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL GEORGE GONZALEZ M.D.
Provider Business Mailing Address
First Line : PO BOX 39077
Second Line :
City : BELFAST
State : ME
Zip : 04915-1232
Country : US
Telephone Number : 346-345-2092
Fax Number : 281-883-4395
Provider Business Practice Location Address
First Line : 20320 NORTHWEST FWY STE 400A
Second Line :
City : JERSEY VILLAGE
State : TX
Zip : 77065
Country : US
Telephone Number : 346-345-2092
Fax Number : 281-883-4395
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2005
Last Update Date : 07/15/2025

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Directions to “ DR. MICHAEL GEORGE GONZALEZ M.D.” Practice Location

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