Gonzalez, Roberto

Gonzalez, Roberto is an individual health care provider with primary practice located at 8198 Walnut Hill Ln Jackson Ll, Diabetes Education Center, Dallas TX 75231-4316. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Gonzalez, Roberto can be contacted via phone (214) 345-4330.

Contact Information

Primary practice address
8198 Walnut Hill Ln Jackson Ll, Diabetes Education Center Dallas TX 75231-4316
Phone: (214) 345-4330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT07370 Texas

Profile Details

NPI number 1679532667
LBN Legal business name Gonzalez, Roberto
Credentials MS, RD, LD, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jan 16th, 2013 - about 11 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 1679532667 NPPES
Other 21110156 NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS
Other DT07370 NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS

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