Provider Demographics
NPI:1184876773
Name:GONZALEZ, ARTURO GABRIEL (MD)
Entity type:Individual
Prefix:
First Name:ARTURO
Middle Name:GABRIEL
Last Name:GONZALEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2222 GREENHOUSE RD
Mailing Address - Street 2:STE 1800
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7855
Mailing Address - Country:US
Mailing Address - Phone:713-463-4005
Mailing Address - Fax:281-392-5205
Practice Address - Street 1:605 E SAN ANTONIO ST STE 510E
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-6011
Practice Address - Country:US
Practice Address - Phone:361-576-9342
Practice Address - Fax:361-576-9353
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2024-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN3680208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8ER683OtherBLUE CROSS BLUE SHIELD
TX8GDD813OtherBCBS
TX340328902Medicaid
TX340328903Medicaid
TX340328903Medicaid
TX368801YUD8Medicare PIN
TX483081ZSWDMedicare PIN