Individual provider · Type 1 NPI
Heriberto A. Gonzalez, PhD
Surgical Physician Assistant · Lackland A F B, TX
NPI number
1356366348
Active
Practice location
2200 Bergquist Dr Ste 1, Attn: Credentialsd(cmc)
Lackland A F B, TX 78236-9908
Fax (210) 292-7199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1356366348
Heriberto A. Gonzalez, PhD's National Provider Identifier is 1356366348, issued on Jul 12, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lackland A F B, TX. The record was last updated on Jul 8, 2007.