Gonzales, Amanda Naomi

Gonzales, Amanda Naomi is an sole proprietor health care provider with primary practice located at 512 Victoria Ln Ste 13 , Harlingen TX 78550-3228. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Gonzales, Amanda Naomi can be contacted via phone (956) 412-6060.

Contact Information

Primary practice address
512 Victoria Ln Ste 13 Harlingen TX 78550-3228
Phone: (956) 412-6060
Fax: (956) 412-6070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 111197 Texas

Profile Details

NPI number 1629217815
LBN Legal business name Gonzales, Amanda Naomi
Credentials MOT, OTR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2009
Last updated Feb 11th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629217815 NPPES
Texas Other 676617 MEDICARE PART A
Texas MEDICAID 178709501 MEDICARE PART A
Texas Other 0046NN MEDICARE PART A
Texas Other 00994Z MEDICARE PART A

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