Gonzalez, Omar

Gonzalez, Omar is an sole proprietor health care provider with primary practice located at 1700 N Oregon St Suite 515, El Paso TX 79902-3584. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gonzalez, Omar can be contacted via phone (915) 253-1757.

Contact Information

Primary practice address
1700 N Oregon St Suite 515 El Paso TX 79902-3584
Phone: (915) 253-1757
Fax: (915) 544-5696
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K4440 Texas

Profile Details

NPI number 1780682260
LBN Legal business name Gonzalez, Omar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2005
Last updated Jul 12th, 2010 - about 15 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 1780682260 NPPES
Texas MEDICAID 030412302

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