Provider Demographics
NPI:1568581007
Name:GONZALES, GILBERT JR (DC)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:
Last Name:GONZALES
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8702 EAGLE PEAK
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4382
Mailing Address - Country:US
Mailing Address - Phone:210-695-4754
Mailing Address - Fax:
Practice Address - Street 1:1931 NW MILITARY HWY STE 131
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-2156
Practice Address - Country:US
Practice Address - Phone:210-541-8965
Practice Address - Fax:210-541-8964
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7403111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor