Gonzalez, John J

Gonzalez, John J is an individual health care provider with primary practice located at 8811 Village Dr Suite 300, San Antonio TX 78217-5415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gonzalez, John J can be contacted via phone (210) 651-0303.

Contact Information

Primary practice address
8811 Village Dr Suite 300 San Antonio TX 78217-5415
Fax: (210) 651-0302
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X L2284 Texas

Profile Details

NPI number 1700857927
LBN Legal business name Gonzalez, John J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Feb 23rd, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700857927 NPPES
Texas MEDICAID 085170101

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