Gonzalez, Dagoberto I
Gonzalez, Dagoberto I is an sole proprietor health care provider with primary practice located at 7109 Bartlett Ave Sute 101 , Laredo TX 78041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gonzalez, Dagoberto I can be contacted via phone (956) 717-5775.Contact Information
Primary practice address
7109 Bartlett Ave Sute 101
Laredo TX 78041
Phone: (956) 717-5775
Fax: (956) 717-5875
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | K3902 | Texas |
Profile Details
NPI number | 1326029869 |
---|---|
LBN Legal business name | Gonzalez, Dagoberto I |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 10th, 2005 |
Last updated | Jun 6th, 2019 - about 5 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 | 1326029869 | NPPES |
Texas | MEDICAID | 1654683-01 | |
Texas | Other | 8M7440 |
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