Mark Joseph Gonzales
Specialist/Technologist, Other, Surgical Assistant in Lytle, TX. Individual provider (NPI-1).
NPI number1699178756
StatusActive
Last updated in NPPESJul 22, 2022
Details
- NPI
- 1699178756
- Entity type
- Individual (NPI-1)
- Name
- Mark Joseph Gonzales
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 3, 2014
- Certification date
- Jul 22, 2022
- Last updated
- Jul 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | SA00742 | TX | Yes |
Practice location
16874 Fm 463Lytle, TX 78052-4515
Phone 210-239-6873
Mailing address
16874 Fm 463Lytle, TX 78052-4515
Phone 210-239-6873
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All 7 Surgical Assistant providers in Lytle · All 152 providers in Lytle
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