Gonzalez, Juan Manuel
Gonzalez, Juan Manuel is an sole proprietor health care provider with primary practice located at 4920 Atascocita Rd # 900 , Humble TX 77346-2849. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gonzalez, Juan Manuel can be contacted via phone (281) 973-6220.Contact Information
Primary practice address
4920 Atascocita Rd # 900
Humble TX 77346-2849
Phone: (281) 973-6220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 35342 | Texas |
Profile Details
| NPI number | 1881255768 |
|---|---|
| LBN Legal business name | Gonzalez, Juan Manuel |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2019 |
| Last updated | Aug 12th, 2024 - about 2 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 | 1881255768 | NPPES |
| Texas | MEDICAID | 35342 |
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