Gonzales, Gloria

Gonzales, Gloria is an sole proprietor health care provider with primary practice located at 5425 W Spring Creek Pkwy Ste 140 , Plano TX 75024-4318. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gonzales, Gloria can be contacted via phone (972) 494-3100.

Contact Information

Primary practice address
5425 W Spring Creek Pkwy Ste 140 Plano TX 75024-4318
Fax: (972) 608-0005
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 588973 Texas

Profile Details

NPI number 1942243860
LBN Legal business name Gonzales, Gloria
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Aug 25th, 2014 - about 11 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 1942243860 NPPES
Texas MEDICAID 161174101
Texas Other 1611741031
Texas MEDICAID 200223360A

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