Gonzalez, Mayra

Gonzalez, Mayra is an individual health care provider with primary practice located at 14603 Huebner Rd Ste 28101 , San Antonio TX 78230-5497. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as her primary health care specialty. Gonzalez, Mayra can be contacted via phone (210) 614-7074.

Contact Information

Primary practice address
14603 Huebner Rd Ste 28101 San Antonio TX 78230-5497
Phone: (210) 614-7074
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X FPF02000046 Texas

Profile Details

NPI number 1043721442
LBN Legal business name Gonzalez, Mayra
Credentials Certified Clinical Perfusionist (CCP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2017
Last updated Jan 7th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043721442 NPPES
Texas Other FPF02000046 TEXAS MEDICAL BOARD

Popular Providers