Gonzalez, Robert Medell

Gonzalez, Robert Medell is an individual health care provider with primary practice located at 111 Dallas St , San Antonio TX 78205-1201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Gonzalez, Robert Medell can be contacted via phone (210) 297-7000.

Contact Information

Primary practice address
111 Dallas St San Antonio TX 78205-1201
Phone: (210) 297-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X K3206 Texas

Profile Details

NPI number 1407812852
LBN Legal business name Gonzalez, Robert Medell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Oct 8th, 2008 - about 16 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 1407812852 NPPES
Texas MEDICAID 031150804
Texas MEDICAID 031150801
Texas MEDICAID 031150805
Texas MEDICAID 031150803
Texas MEDICAID 031150806

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