Gonzalez, Kimberly Ann

Gonzalez, Kimberly Ann is an individual health care provider with primary practice located at 5115 S Mccoll Rd , Edinburg TX 78539-8278. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gonzalez, Kimberly Ann can be contacted via phone (956) 683-7900.

Contact Information

Primary practice address
5115 S Mccoll Rd Edinburg TX 78539-8278
Phone: (956) 683-7900
Fax: (956) 683-9910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05418 Texas

Profile Details

NPI number 1871774117
LBN Legal business name Gonzalez, Kimberly Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2007
Last updated Mar 15th, 2016 - about 8 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 1871774117 NPPES
Texas Other PA05418 STATE LICENSE NUMBER
Texas MEDICAID 192342701 STATE LICENSE NUMBER

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