Anthony Gonzalez

NPI 1326407859 · on the registry since 2016 · sole proprietor

Practice

Address: 1004 W Ocean Blvd
Los Fresnos, TX 78566
Phone: (956) 233-1822
Fax: (956) 233-1798
Organisation at this address: Wal-Mart Stores Texas Llc
Wal-Mart Stores Texas, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-11-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas