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Dr. Gonzalo Lievano, MD
Urology Physician in Fort Worth, Texas
NPI 1558302976

Gonzalo Lievano is a Urology Physician based in Fort Worth, TX. Gonzalo Lievano practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Gonzalo Lievano is 1558302976 and holds a License No. L5024 (Texas).

The current practice location address for Gonzalo Lievano is 1307 8Th Ave, Fort Worth, TX and can be reached out via phone at 817-912-8040 and via fax at 817-912-8049.

Location: 1307 8Th Ave, Fort Worth, TX, 76104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558302976
Provider Name
Gonzalo Lievano
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1307 8Th Ave, Fort Worth, TX, 76104
Phone Number
817-912-8040
Fax Number
817-912-8049
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
155486702 05 TX
8S3521 01 TX BCBS
155486703 05 TX
institution
Provider Business Practice Location Address Details
Address
1307 8Th Ave
City
Fort Worth
State
Texas
Zip
76104
Phone Number
817-912-8040
Fax Number
817-912-8049
person
Provider Business Mailing Address Details
Address
1307 8Th Ave
City
Fort Worth
State
Texas
Zip
76104
Phone Number
817-912-8040
Fax Number
817-912-8049
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
L5024 (Texas)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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