Gonzalez, Manuel C.
Gonzalez, Manuel C. is an individual health care provider with primary practice located at 1515 Pappas St , Laredo TX 78041-1705. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Gonzalez, Manuel C. can be contacted via phone (956) 795-8100.Contact Information
Primary practice address
1515 Pappas St
Laredo TX 78041-1705
Phone: (956) 795-8100
Fax: (956) 718-6294
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP112042 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 547441 | Texas |
Profile Details
NPI number | 1417987801 |
---|---|
LBN Legal business name | Gonzalez, Manuel C. |
Credentials | DNP, APRN, FNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 3rd, 2006 |
Last updated | Jan 2nd, 2024 - about 10 months 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 | 1417987801 | NPPES |
Texas | MEDICAID | 170859602 |
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