Gonzales, Ethan Matthew
Gonzales, Ethan Matthew is an sole proprietor health care provider with primary practice located at 2000 Ranch Road 620 S Ste A , Lakeway TX 78734-6412. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Gonzales, Ethan Matthew can be contacted via phone (512) 263-8481.Contact Information
Primary practice address
2000 Ranch Road 620 S Ste A
Lakeway TX 78734-6412
Phone: (512) 263-8481
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacy Technician | 183700000X | 258401 | Texas |
Profile Details
| NPI number | 1740879170 |
|---|---|
| LBN Legal business name | Gonzales, Ethan Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2021 |
| Last updated | Jan 11th, 2021 - about 3 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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