Gonzales, Edmond T.
Gonzales, Edmond T. is an individual health care provider with primary practice located at 6701 Fannin St , Houston TX 77030-2316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as his primary health care specialty. Gonzales, Edmond T. can be contacted via phone (832) 822-3160.Contact Information
Primary practice address
6701 Fannin St
Houston TX 77030-2316
Phone: (832) 822-3160
Fax: (832) 825-3159
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | E3181 | Texas |
Profile Details
NPI number | 1568546521 |
---|---|
LBN Legal business name | Gonzales, Edmond T. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 25th, 2006 |
Last updated | Sep 30th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568546521 | NPPES |
Texas | MEDICAID | 136179204 | |
Texas | Other | P0K069522 | |
Texas | Other | 136179206 | |
Texas | MEDICAID | 136179205 |
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