Provider Demographics
NPI:1962994608
Name:GONZALEZ, DANIEL EMILIO (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:EMILIO
Last Name:GONZALEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9101 KANIS RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6456
Mailing Address - Country:US
Mailing Address - Phone:501-224-6366
Mailing Address - Fax:501-725-8445
Practice Address - Street 1:9101 KANIS RD STE 200
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6455
Practice Address - Country:US
Practice Address - Phone:501-224-6366
Practice Address - Fax:501-725-8445
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2023-08-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10064590207R00000X
TXBP20077394207RR0500X
ARE-17005207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine