Gonzalez, Alfonso Ivan

Gonzalez, Alfonso Ivan is an individual health care provider with primary practice located at 501 Bernice Ave , Odessa TX 79763-4226. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gonzalez, Alfonso Ivan can be contacted via phone (432) 333-1300.

Contact Information

Primary practice address
501 Bernice Ave Odessa TX 79763-4226
Phone: (432) 333-1300
Fax: (432) 333-1306
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD2005-0515 New Mexico
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M3815 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD2005-0515 New Mexico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M3815 Texas

Profile Details

NPI number 1386606721
LBN Legal business name Gonzalez, Alfonso Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Dec 31st, 2018 - about 6 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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