Gonzalez, Paul

Gonzalez, Paul is an individual health care provider with primary practice located at 140 Hillcrest Medical Blvd Ste 2 , Waco TX 76712-8897. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gonzalez, Paul can be contacted via phone (254) 202-8980.

Contact Information

Primary practice address
140 Hillcrest Medical Blvd Ste 2 Waco TX 76712-8897
Phone: (254) 202-8980
Fax: (254) 730-2692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00970 Texas

Profile Details

NPI number 1508829813
LBN Legal business name Gonzalez, Paul
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Dec 16th, 2021 - about 3 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 1508829813 NPPES
Texas Other 8N9131 BLUE SHIELD

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