Provider Demographics
NPI:1376549204
Name:GONZALEZ, FILOMENO P JR (MD)
Entity type:Individual
Prefix:DR
First Name:FILOMENO
Middle Name:P
Last Name:GONZALEZ
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:425 W COLONIAL DR STE 303
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-6863
Mailing Address - Country:US
Mailing Address - Phone:830-730-5025
Mailing Address - Fax:830-730-4207
Practice Address - Street 1:1762 E COMMON ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6059
Practice Address - Country:US
Practice Address - Phone:830-730-8580
Practice Address - Fax:830-327-1021
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2025-01-31
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Provider Licenses
StateLicense IDTaxonomies
TXM0737207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM0737OtherTX LICENSE
TX201629704Medicaid
TXP01430405OtherRR MEDICARE
TX201629703Medicaid