Edgar A Gonzalez

NPI #1104338029 in Eagle Pass, Texas

Provider Information

NPI Number: 1104338029
Entity Type: Individual
Name: Edgar A Gonzalez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Nov 1, 2017
Last Updated: Nov 1, 2017

Practice Location

Address: 360 AUSTIN ST
City: Eagle Pass
State: Texas
ZIP Code: 78852-4907
Phone: (830) 461-9726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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