Provider Demographics
NPI:1083989768
Name:GONZALEZ, ABIEL E III (DC)
Entity type:Individual
Prefix:DR
First Name:ABIEL
Middle Name:E
Last Name:GONZALEZ
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1929 PAYTON GIN RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-8501
Mailing Address - Country:US
Mailing Address - Phone:512-302-4773
Mailing Address - Fax:512-302-1678
Practice Address - Street 1:5920 W WILLIAM CANNON
Practice Address - Street 2:BLDG 1, SUITE 100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-1902
Practice Address - Country:US
Practice Address - Phone:512-302-4773
Practice Address - Fax:512-302-1678
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-14
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12024111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician