Gonzalez, Manuel C.

Gonzalez, Manuel C. is an individual health care provider with primary practice located at 1515 Pappas St , Laredo TX 78041-1705. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Gonzalez, Manuel C. can be contacted via phone (956) 795-8100.

Contact Information

Primary practice address
1515 Pappas St Laredo TX 78041-1705
Phone: (956) 795-8100
Fax: (956) 718-6294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP112042 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 547441 Texas

Profile Details

NPI number 1417987801
LBN Legal business name Gonzalez, Manuel C.
Credentials DNP, APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jan 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417987801 NPPES
Texas MEDICAID 170859602

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