Doctor Name: | DAVID V. GONZALEZ |
NPI Number: | 1003090804 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 05930404450 |
Business Practice Address: | 3110 Hillcrest Dr Apt # 607 San Antonio, TX - 782017055 |
Business Phone Number: | 2103810680 |
Business Fax Number: | |
Mailing Address: | 3110 Hillcrest Dr, Apt # 607 SAN ANTONIO |
State: | TX |
Postal Code: | 782017055 |
Phone Number: | 2103810680 |
Fax Number: | |
NPI Enumeration Date: | 12/28/2007 |
NPI Last Update Date: | 12/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246RP1900X |
License Number: | 05930404450 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Pathology |
Taxonomy Specialization: | Phlebotomy |
Taxonomy Definition: |