Gonzalez, Eloisa Thelma
Gonzalez, Eloisa Thelma is an sole proprietor health care provider with primary practice located at 825 Lakeside Blvd , Brownsville TX 78520-7616. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gonzalez, Eloisa Thelma can be contacted via phone (956) 542-7999.Contact Information
Primary practice address
825 Lakeside Blvd
Brownsville TX 78520-7616
Phone: (956) 542-7999
Fax: (956) 544-5059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | H4829 | Texas |
Profile Details
| NPI number | 1972585982 |
|---|---|
| LBN Legal business name | Gonzalez, Eloisa Thelma |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Aug 13th, 2008 - 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 | 1972585982 | NPPES |
| Texas | MEDICAID | 092722002 | |
| Texas | MEDICAID | 092722001 | |
| Texas | Other | 742995152 |
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