Peter C. W. Gonzales, M.D., P.A.
LBN: Peter C. W. Gonzales, M.D., P.A.
Peter C. W. Gonzales, M.D., P.A. is an health care organization with primary practice located at 3204 N Macarthur Blvd Suite B, Irving TX 75062-4453. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty.
Peter C. W. Gonzales, M.D., P.A. can be contacted via phone (972) 870-5500, or through Gonzales, Peter Chan Wong via phone (972) 870-5500.
Contact Information
Primary practice address
3204 N Macarthur Blvd Suite B
Irving TX 75062-4453
Phone: (972) 870-5500
Fax: (972) 870-5504
Website:
Authorized official contact:
Name: Gonzales, Peter Chan Wong Doctor of Medicine (MD)
Phone: (972) 870-5500
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ||
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | ||
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X |
Profile Details
| NPI number | 1558313643 |
|---|---|
| LBN Legal business name | Peter C. W. Gonzales, M.D., P.A. |
| DBA Doing business as | |
| Authorized official | Gonzales, Peter Chan Wong Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jul 13th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558313643 | NPPES |
| Texas | Other | 0053BF | BLUE CROSS BLUE SHIELD |
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