Gonzales, Edmond T.

Gonzales, Edmond T. is an individual health care provider with primary practice located at 6701 Fannin St , Houston TX 77030-2316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as his primary health care specialty. Gonzales, Edmond T. can be contacted via phone (832) 822-3160.

Contact Information

Primary practice address
6701 Fannin St Houston TX 77030-2316
Phone: (832) 822-3160
Fax: (832) 825-3159
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X E3181 Texas

Profile Details

NPI number 1568546521
LBN Legal business name Gonzales, Edmond T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Sep 30th, 2008 - about 18 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 1568546521 NPPES
Texas MEDICAID 136179204
Texas Other P0K069522
Texas Other 136179206
Texas MEDICAID 136179205

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