Sunrise Total Mind Wellness Referrals
Referred by
- Referring physician: Laura Garza-Gongora
- Referring physician contact number: 956-718-6966
- Practice name: Dr. Arturo Garza-Gongora
- Practice contact name: Alejandra
- Practice phone number: 956-718-6966
- Practice fax number: 956-795-4760
Patient information
- Preferred name: Diana Gonzalez
- DOB: June 19, 1969
- Sex: Male
- Race: White
- Preferred language: Spanish
- Marital status: Single
- Contact number: 956-771-5213
- Email address: alejandra@garza-gongora.com
- Address: 713 Lindenwood dr unit A
Laredo, Texas 78045 - Reason for visit:
Psychiatrist evaluation. Chronic depression.
Insurance information
- Insurance policy holder’s name: Diana Gonzalez
- Insurance policy holder’s DOB: June 19, 1969
- Primary insurance ID: 0008683426
- Primary insurance Group: QMXEM00972
- Secondary insurance ID:
- Secondary insurance Group: