Gonzales, Richard H
Gonzales, Richard H is an sole proprietor health care provider with primary practice located at 407 N 4Th St , Longview TX 75601-6512. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Gonzales, Richard H can be contacted via phone (903) 241-0675.Contact Information
Primary practice address
407 N 4Th St
Longview TX 75601-6512
Phone: (903) 241-0675
Fax: (903) 234-0248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | 131 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | 131 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | CP001022 | Texas |
Profile Details
| NPI number | 1326252560 |
|---|---|
| LBN Legal business name | Gonzales, Richard H |
| Credentials | CP, LPO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1326252560 | NPPES |
| Texas | Other | 69606542 | BLUE CROSS BLUE SHIELD |
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