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
Phone: (956) 727-8470
Fax: (956) 727-4933
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710061239 | NPPES |
Texas | MEDICAID | P000T279 |
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