Marcus B Gonzales OD

NPI 1417147596 - Optometrist - 152W00000X

NPI Details
NPI 1417147596
Gender Male
Enumeration Date 07/26/2007
Last Updated 09/15/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
2525 LUCAS DR
BLG 3
DALLAS TX, 75219-1804, US
Phone (214) 528-7354
Fax (214) 528-7387
Business Location
4901 CALHOUN RD
ROOM 2104
HOUSTON TX, 77204-2020, US
Phone (713) 743-2020
Fax (713) 743-0963
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 6930TG
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According to our database, Dr. Marcus B Gonzales OD NPI is 1417147596, taxonomy code is 152W00000X and license number is 6930TG, license state is located at Texas. Marcus B Gonzales OD physically located at 2525 Lucas Dr, Dallas TX, 75219-1804. NPI Number Marcus B Gonzales OD has the Individual type.

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1417147596 NPI number is provided on an as is basis without warranty of any kind. 1417147596 is maintained by the National Plan & Provider Enumeration System. The contents of Marcus B Gonzales OD are for informational purposes only.