Cathry J. Gonzales, M.D., P.A.

LBN: Cathry J. Gonzales, M.D., P.A.
Cathry J. Gonzales, M.D., P.A. is an health care organization with primary practice located at 1327 N Washington , Magnolia AR 71753-2067. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Cathry J. Gonzales, M.D., P.A. can be contacted via phone (870) 235-1112, or through Gonzales, Cathryn J. via phone (870) 235-1112.

Contact Information

Primary practice address
1327 N Washington Magnolia AR 71753-2067
Phone: (870) 235-1112
Fax: (870) 235-1114
Website:
Map and Directions
Authorized official contact:
Name: Gonzales, Cathryn J. Doctor of Medicine (MD)
Phone: (870) 235-1112

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1164478145
LBN Legal business name Cathry J. Gonzales, M.D., P.A.
DBA Doing business as
Authorized official Gonzales, Cathryn J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Jul 29th, 2008 - about 18 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 1164478145 NPPES
Arkansas Other 04D1052359 CLIA
Arkansas MEDICAID 161249002 CLIA

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