Palacios, Andrew Gonzalo

Palacios, Andrew Gonzalo is an individual health care provider with primary practice located at 1020 E Idel St , Tyler TX 75701-2024. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Palacios, Andrew Gonzalo can be contacted via phone (903) 535-2902.

Contact Information

Primary practice address
1020 E Idel St Tyler TX 75701-2024
Phone: (903) 535-2902
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17722 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA17722 Texas

Profile Details

NPI number 1609507466
LBN Legal business name Palacios, Andrew Gonzalo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2022
Last updated Mar 29th, 2024 - about last year

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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