Gonzalez, Waldo
Gonzalez, Waldo is an sole proprietor health care provider with primary practice located at 302 Medical Park Dr Suite 101, Lufkin TX 75904-3148. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Gonzalez, Waldo can be contacted via phone (936) 634-8216.Contact Information
Primary practice address
302 Medical Park Dr Suite 101
Lufkin TX 75904-3148
Phone: (936) 634-8216
Fax: (936) 634-8723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | D2889 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | D2889 | Texas |
Profile Details
| NPI number | 1033269279 |
|---|---|
| LBN Legal business name | Gonzalez, Waldo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 1st, 2008 - about 18 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 | 1033269279 | NPPES |
| Texas | MEDICAID | 138116203 | |
| Texas | Other | E327 |
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