Willie R Gonzales Jr Dds Pc

LBN: Willie R Gonzales Jr Dds Pc
Willie R Gonzales Jr Dds Pc is an health care organization with primary practice located at 26219 Interstate 45 , The Woodlands TX 77380-1903. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Willie R Gonzales Jr Dds Pc can be contacted via phone (281) 367-3685, or through Gonzales, Willie R via phone (281) 367-3685.

Contact Information

Primary practice address
26219 Interstate 45 The Woodlands TX 77380-1903
Phone: (281) 367-3685
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gonzales, Willie R Doctor of Dental Surgery (DDS)
Phone: (281) 367-3685

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1891926192
LBN Legal business name Willie R Gonzales Jr Dds Pc
DBA Doing business as
Authorized official Gonzales, Willie R Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2009
Last updated Aug 4th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891926192 NPPES
Texas MEDICAID 009290002

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