Gonzalez, Pedro Daniel

Gonzalez, Pedro Daniel is an individual health care provider with primary practice located at 141 Industrial Ave , Azle TX 76020-2901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gonzalez, Pedro Daniel can be contacted via phone (817) 444-3231.

Contact Information

Primary practice address
141 Industrial Ave Azle TX 76020-2901
Fax: (817) 444-3234
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X K8628 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K8628 Texas

Profile Details

NPI number 1609846682
LBN Legal business name Gonzalez, Pedro Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Apr 12th, 2022 - about 2 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 1609846682 NPPES
Texas MEDICAID 142726202
Texas MEDICAID 142726201

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