Gonzales, Mark
Gonzales, Mark is an individual health care provider with primary practice located at 1101 W 34Th St Suite 635, Austin TX 78705-1907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Gonzales, Mark can be contacted via phone (512) 934-3536.Contact Information
Primary practice address
1101 W 34Th St Suite 635
Austin TX 78705-1907
Phone: (512) 934-3536
Fax: (866) 886-5800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 1001271 | Texas |
Profile Details
| NPI number | 1710379342 |
|---|---|
| LBN Legal business name | Gonzales, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 18th, 2015 |
| Last updated | Feb 18th, 2015 - about 10 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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