Gonzalez, Fernando

Gonzalez, Fernando is an individual health care provider with primary practice located at 120 E Beauregard Ave , San Angelo TX 76903-5919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gonzalez, Fernando can be contacted via phone (325) 658-1511.

Contact Information

Primary practice address
120 E Beauregard Ave San Angelo TX 76903-5919
Phone: (325) 658-1511
Fax: (325) 481-2166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X F4007 Texas

Profile Details

NPI number 1255394821
LBN Legal business name Gonzalez, Fernando
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Mar 4th, 2014 - about 12 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 1255394821 NPPES
Texas Other 8X3076 BCBS
Texas MEDICAID 133182912 BCBS
Texas Other F4007 BCBS

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