Gonzales, Christine M

Gonzales, Christine M is an individual health care provider with primary practice located at 3624 Oak Lawn Ave Ste 110B , Dallas TX 75219-4711. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Gonzales, Christine M can be contacted via phone (214) 892-2271.

Contact Information

Primary practice address
3624 Oak Lawn Ave Ste 110B Dallas TX 75219-4711
Phone: (214) 892-2271
Fax: (361) 200-4261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X PA08075 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA5504 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA08075 Texas

Profile Details

NPI number 1831433861
LBN Legal business name Gonzales, Christine M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Oct 9th, 2022 - about 4 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 1831433861 NPPES
Texas Other 320119960 TAX ID

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