Gonzalez, Jesus R

Gonzalez, Jesus R is an individual health care provider with primary practice located at 1901 S 1St St Ste 600 , Mcallen TX 78503-1228. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gonzalez, Jesus R can be contacted via phone (956) 631-6136.

Contact Information

Primary practice address
1901 S 1St St Ste 600 Mcallen TX 78503-1228
Phone: (956) 631-6136
Fax: (956) 631-6136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA07786 Texas

Profile Details

NPI number 1538424445
LBN Legal business name Gonzalez, Jesus R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2012
Last updated Nov 19th, 2015 - about 11 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 1538424445 NPPES
Texas MEDICAID 335076101
Texas Other PA07786

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