| Edulfo Gonzalez, M.d., Pllc | |
|
8550 Huebner Rd San Antonio TX 78240-1803 | |
| (210) 229-9085 | |
| (210) 229-9202 |
| Full Name | Edulfo Gonzalez, M.d., Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8550 Huebner Rd, San Antonio, Texas |
| Authorized Official Name and Position | Edulfo Gonzalez-sanchez (MEMBER) |
| Authorized Official Contact | 2102299085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edulfo Gonzalez, M.d., Pllc 4813 Fredericksburg Rd Ste B San Antonio TX 78229-3664 Ph: (210) 229-9085 | Edulfo Gonzalez, M.d., Pllc 8550 Huebner Rd San Antonio TX 78240-1803 Ph: (210) 229-9085 |
| NPI Number | 1316296098 |
|---|---|
| Provider Enumeration Date | 09/10/2012 |
| Last Update Date | 03/10/2023 |
| Certification Date | 03/10/2023 |
| Medicare PECOS PAC ID | 8527219310 |
|---|---|
| Medicare Enrollment ID | O20121102000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316296098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G2707 (Texas) | Primary |
| Provider Name | Edulfo Gonzalez-sanchez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942591151 PECOS PAC ID: 2264610898 Enrollment ID: I20110629000338 |
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