Gonzales, Laura A

Gonzales, Laura A is an individual health care provider with primary practice located at 700 W Oak St , Denton TX 76201-4035. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gonzales, Laura A can be contacted via phone (940) 382-9636.

Contact Information

Primary practice address
700 W Oak St Denton TX 76201-4035
Phone: (940) 382-9636
Fax: (940) 382-1554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05359 Texas

Profile Details

NPI number 1649466947
LBN Legal business name Gonzales, Laura A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2007
Last updated Feb 1st, 2016 - about 8 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 1649466947 NPPES
Texas MEDICAID 317142302
Texas MEDICAID 317142301

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