GONZALES PSYCHIATRIC SERVICES, PA
Nursing at Zulema Ave, San Antonio, TX

License number
Texas 638567
Category
Nursing
Type
Psychiatric/Mental Health
Owner
Name: GEOFFREY MARK GONZALES PMHNP
Title: OWNER
Phone: (210) 482-9913
Address
Address
4943 Zulema Ave, San Antonio, TX 78237
National Provider ID: 1902117179
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GONZALES PSYCHIATRIC SERVICES, PA

4943 Zulema Ave, San Antonio, TX 78237

Registration:
Jun 7, 2010
State ID:
0801278686
Business type:
Professional Association
Owner, Principal:
Geoffrey M. Gonzales (Owner, Principal)
Agent:
Geoffrey Mark Gonzales,4943 Zulema Ave, San Antonio, TX 78237 (Physical)
TIN:
32042008048

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