Provider Demographics
NPI:1578591202
Name:GONZALEZ, ESTEBAN ALEJANDRO (MD)
Entity Type:Individual
Prefix:DR
First Name:ESTEBAN
Middle Name:ALEJANDRO
Last Name:GONZALEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ESTEBAN
Other - Middle Name:ALEJANDRO
Other - Last Name:GONZALEZ-VILLARREAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:236 LINDBERG AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2920
Mailing Address - Country:US
Mailing Address - Phone:956-668-0655
Mailing Address - Fax:956-668-0943
Practice Address - Street 1:236 LINDBERG AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2920
Practice Address - Country:US
Practice Address - Phone:956-668-0655
Practice Address - Fax:956-668-0943
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH49362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8E0646OtherBCBS/CHAMPUS
TX173998901Medicaid
TXM0069970OtherDPS
TXBG1536424OtherDEA
TX173998901Medicaid