Gonzales, Jordan
Gonzales, Jordan is an individual health care provider with primary practice located at 17201 I 45 S , The Woodlands TX 77385-3311. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Gonzales, Jordan can be contacted via phone (936) 270-2000.Contact Information
Primary practice address
17201 I 45 S
The Woodlands TX 77385-3311
Phone: (936) 270-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT6773 | Texas |
Profile Details
| NPI number | 1154708626 |
|---|---|
| LBN Legal business name | Gonzales, Jordan |
| Credentials | ATC, LAT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2015 |
| Last updated | Aug 12th, 2026 - about 2 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154708626 | NPPES |
| Texas | Other | AT6773 | TDLR |
| Texas | Other | 63572 | TDLR |
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