Audrey Gonzalez, PHYSICIAN ASSISTANT

NPI #1801398219 in Mesquite, Texas

Provider Information

NPI Number: 1801398219
Entity Type: Individual
Name: Audrey Gonzalez, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Mar 1, 2018
Last Updated: Mar 1, 2018

Practice Location

Address: 3230 INTERSTATE 30 STE 100
City: Mesquite
State: Texas
ZIP Code: 75150-2662
Phone: (972) 682-1791

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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