Gonzalez, Omar

Gonzalez, Omar is an sole proprietor health care provider with primary practice located at 101 E Ridge Rd , Mcallen TX 78503-1248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gonzalez, Omar can be contacted via phone (800) 893-9698.

Contact Information

Primary practice address
101 E Ridge Rd Mcallen TX 78503-1248
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X F8128 Texas

Profile Details

NPI number 1659475309
LBN Legal business name Gonzalez, Omar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2006
Last updated Apr 23rd, 2008 - about 17 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 1659475309 NPPES
Texas MEDICAID 140092117
Texas MEDICAID 140092127
Texas Other 88351X
Texas Other 8X7478

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