Provider Demographics
NPI:1952339624
Name:GONZALEZ, TOMAS ARNOLDO (MD)
Entity Type:Individual
Prefix:
First Name:TOMAS
Middle Name:ARNOLDO
Last Name:GONZALEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 N 10TH ST
Mailing Address - Street 2:SUITE 820
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1735
Mailing Address - Country:US
Mailing Address - Phone:956-341-4396
Mailing Address - Fax:
Practice Address - Street 1:3900 N 10TH ST
Practice Address - Street 2:SUITE 820
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-1735
Practice Address - Country:US
Practice Address - Phone:956-341-4396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ61142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB142113Medicare PIN
TXF67576Medicare UPIN