Individual provider · Type 1 NPI
Edgar A. Gonzalez
Student in an Organized Health Care Education/Training Program · Eagle Pass, TX
NPI number
1104338029
Active
Practice location
360 Austin St
Eagle Pass, TX 78852-4907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1104338029
Edgar A. Gonzalez's National Provider Identifier is 1104338029, issued on Nov 1, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Eagle Pass, TX. The record was last updated on Nov 1, 2017.