MR. Edgardo Mauricio Gonzalez, CSA, LSA
NPI #1982058053 in Shenandoah, Texas
Provider Information
- NPI Number
- 1982058053
- Entity Type
- Individual
- Name
- MR. Edgardo Mauricio Gonzalez, CSA, LSA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- CSA, LSA
- Enumeration Date
- Apr 14, 2016
- Last Updated
- Dec 5, 2023
Practice Location
- Address
- 17201 INTERSTATE 45 S
- City
- Shenandoah
- State
- Texas
- ZIP Code
- 77385-3311
- Phone
- (305) 610-0506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
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