Adolfo Gonzalez, DO
in Fort Worth, TX. Individual provider (NPI-1).
NPI number1710071907
StatusActive
Last updated in NPPESMay 27, 2010
Details
- NPI
- 1710071907
- Entity type
- Individual (NPI-1)
- Name
- Mr. Adolfo Gonzalez
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2006
- Last updated
- May 27, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | G8138 | TX | Yes | |
| 208600000X | Surgery | G8138 | TX |
Practice location
909 9th AveSte 201
Fort Worth, TX 76104-3903
Phone 817-419-0448 · Fax 817-339-8916
Mailing address
909 9th AveSte 201
Fort Worth, TX 76104-3903
Phone 817-419-0448 · Fax 817-339-8916
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