Individual provider · Type 1 NPI

Edgardo Mauricio Gonzalez, CSA, LSA

Surgical Physician Assistant · Shenandoah, TX

NPI number 1982058053 Active

Practice location

17201 Interstate 45 S
Shenandoah, TX 77385-3311

Mailing address

34 Cheswood Manor Dr
The Woodlands, TX 77382-5380

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed
Surgical Assistant 246ZC0007X16-165 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1982058053

Edgardo Mauricio Gonzalez, CSA, LSA's National Provider Identifier is 1982058053, issued on Apr 14, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Shenandoah, TX. The record was last updated on Dec 5, 2023.