Gonzalez, Adolfo
Gonzalez, Adolfo is an individual health care provider with primary practice located at 909 9Th Ave Ste 201, Fort Worth TX 76104-3903. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Gonzalez, Adolfo can be contacted via phone (817) 419-0448.Contact Information
Primary practice address
909 9Th Ave Ste 201
Fort Worth TX 76104-3903
Phone: (817) 419-0448
Fax: (817) 339-8916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G8138 | Texas |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G8138 | Texas |
Profile Details
| NPI number | 1710071907 |
|---|---|
| LBN Legal business name | Gonzalez, Adolfo |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | May 27th, 2010 - about 14 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 | 1710071907 | NPPES |
| Texas | MEDICAID | 110389702 |
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