Gonzalez, Omar
Gonzalez, Omar is an sole proprietor health care provider with primary practice located at 1700 N Oregon St Suite 515, El Paso TX 79902-3584. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gonzalez, Omar can be contacted via phone (915) 253-1757.Contact Information
Primary practice address
1700 N Oregon St Suite 515
El Paso TX 79902-3584
Phone: (915) 253-1757
Fax: (915) 544-5696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K4440 | Texas |
Profile Details
| NPI number | 1780682260 |
|---|---|
| LBN Legal business name | Gonzalez, Omar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Jul 12th, 2010 - about 15 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 | 1780682260 | NPPES |
| Texas | MEDICAID | 030412302 |
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