Gonzalez, Juan Hermilo
Gonzalez, Juan Hermilo is an sole proprietor health care provider with primary practice located at 1454 Central Blvd , Brownsville TX 78520-7516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gonzalez, Juan Hermilo can be contacted via phone (956) 391-2600.Contact Information
Primary practice address
1454 Central Blvd
Brownsville TX 78520-7516
Phone: (956) 391-2600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J9686 | Texas |
Profile Details
| NPI number | 1154398121 |
|---|---|
| LBN Legal business name | Gonzalez, Juan Hermilo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jul 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154398121 | NPPES |
| Texas | MEDICAID | 101851702 | |
| Texas | MEDICAID | 101851707 |
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