Mr. Edgardo Mauricio Gonzalez, CSA, LSA
Mr. Edgardo Mauricio Gonzalez, CSA, LSA is a Surgical Physician Assistant in Shenandoah, Texas. Licensed in Wisconsin. Registered with an NPI since 2016.
- Licensed in
- WI
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
17201 Interstate 45 SShenandoah, TX 77385-3311
Phone: (305) 610-0506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X |
|---|---|
| Surgical Assistant | Taxonomy 246ZC0007X · Licence 16-165 (WI) |
Record details
| NPI number | 1982058053 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CSA , LSA |
| Sole proprietor | No |
| NPI enumerated | April 14, 2016 |
| Last updated in NPPES | December 5, 2023 |
| Certification date | December 5, 2023 |
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