Gonzalez, Manuel J

Gonzalez, Manuel J is an sole proprietor health care provider with primary practice located at 1101 Corpus Christi St , Laredo TX 78040-5258. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Gonzalez, Manuel J can be contacted via phone (956) 727-8470.

Contact Information

Primary practice address
1101 Corpus Christi St Laredo TX 78040-5258
Fax: (956) 727-4933
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X E4356 Texas

Profile Details

NPI number 1710061239
LBN Legal business name Gonzalez, Manuel J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Feb 26th, 2013 - about 11 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 1710061239 NPPES
Texas MEDICAID P000T279

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