ALFONSO IVAN GONZALEZ

ODESSA, TX
NPI1386606721
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  M3815)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: NM  MD2005-0515)
207P00000X Emergency Medicine
(Licence: TX  M3815)
207Q00000X Family Medicine
(Licence: NM  MD2005-0515)
Enumeration Date2006-04-03
Last Update Date2018-12-31
Business Address
ALFONSO IVAN GONZALEZ M.D.
501 BERNICE AVE
ODESSA, TX 79763-4226
Phone number: 432-333-1300
Mailing Address
ALFONSO IVAN GONZALEZ M.D.
501 BERNICE AVE
ODESSA, TX 79763-4226
Phone number: 432-333-1300