Provider Demographics
NPI:1255176111
Name:GONZALEZ BIDO, MARIA (CMA)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:GONZALEZ BIDO
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2760 E TRYNITY MILLS RD, SUITE 106
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006
Mailing Address - Country:US
Mailing Address - Phone:917-242-8187
Mailing Address - Fax:469-892-5575
Practice Address - Street 1:2760 E TRYNITY MILLS RD, SUITE 106
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006
Practice Address - Country:US
Practice Address - Phone:469-892-5604
Practice Address - Fax:469-892-5575
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator