Ridlen-Gonzalez, Lucia

Ridlen-Gonzalez, Lucia is an individual health care provider with primary practice located at 2810 Dacy Ln , Kyle TX 78640-6322. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ridlen-Gonzalez, Lucia can be contacted via phone (210) 233-7000.

Contact Information

Primary practice address
2810 Dacy Ln Kyle TX 78640-6322
Fax: (512) 268-2250
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0055569 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X P4238 Texas

Profile Details

NPI number 1831145234
LBN Legal business name Ridlen-Gonzalez, Lucia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jul 8th, 2023 - about 2 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 1831145234 NPPES
Missouri MEDICAID 205937600
Missouri MEDICAID 148786001
Missouri MEDICAID 154037

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