Provider Demographics
NPI:1740265982
Name:GONZALEZ, MICHAEL GEORGE (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:GEORGE
Last Name:GONZALEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 39077
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-1232
Mailing Address - Country:US
Mailing Address - Phone:346-345-2092
Mailing Address - Fax:281-883-4395
Practice Address - Street 1:20320 NORTHWEST FWY STE 400A
Practice Address - Street 2:
Practice Address - City:JERSEY VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:77065
Practice Address - Country:US
Practice Address - Phone:346-345-2092
Practice Address - Fax:281-883-4395
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01056550A207P00000X
TXM8001207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine