Gonzalez, Xavier Lopez

Gonzalez, Xavier Lopez is an individual health care provider with primary practice located at 2100 W Iowa Ave , Chickasha OK 73018-2736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gonzalez, Xavier Lopez can be contacted via phone (405) 224-2100.

Contact Information

Primary practice address
2100 W Iowa Ave Chickasha OK 73018-2736
Phone: (405) 224-2100
Fax: (405) 779-2365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11223 Oklahoma
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 76-179 New Mexico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A38332 California

Profile Details

NPI number 1518996909
LBN Legal business name Gonzalez, Xavier Lopez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 25th, 2019 - about 7 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 1518996909 NPPES
Oklahoma MEDICAID 200023140A

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