Santiago Gonzalez, Hector Luis

Santiago Gonzalez, Hector Luis is an individual health care provider with primary practice located at 2005 W Park Dr Ste 200 , Irving TX 75061-2034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Santiago Gonzalez, Hector Luis can be contacted via phone (214) 358-2300.

Contact Information

Primary practice address
2005 W Park Dr Ste 200 Irving TX 75061-2034
Fax: (214) 579-6984
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X V0534 Texas

Profile Details

NPI number 1386191138
LBN Legal business name Santiago Gonzalez, Hector Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2016
Last updated Jul 11th, 2024 - about last year

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 1386191138 NPPES
Texas Other V0534 MEDICAL LICENSE

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