Individual provider · Type 1 NPI
Mario Atilio Gonzalez
Private Vehicle · Converse, TX
NPI number
1104335249
Active
Practice location
3710 Aranda Flds
Converse, TX 78109-3543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | 41606930 (TX) |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Another provider at this address
About NPI 1104335249
Mario Atilio Gonzalez's National Provider Identifier is 1104335249, issued on Sep 20, 2017. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Converse, TX. The record was last updated on Jul 21, 2022.