Gonzalez, Pedro Daniel
Gonzalez, Pedro Daniel is an individual health care provider with primary practice located at 141 Industrial Ave , Azle TX 76020-2901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gonzalez, Pedro Daniel can be contacted via phone (817) 444-3231.Contact Information
Primary practice address
141 Industrial Ave
Azle TX 76020-2901
Phone: (817) 444-3231
Fax: (817) 444-3234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207QS1201X | K8628 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K8628 | Texas |
Profile Details
| NPI number | 1609846682 |
|---|---|
| LBN Legal business name | Gonzalez, Pedro Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Apr 12th, 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 | 1609846682 | NPPES |
| Texas | MEDICAID | 142726202 | |
| Texas | MEDICAID | 142726201 |
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