Stacy Ricardo Gonzales in Houston - General Practice

Stacy Ricardo Gonzales - NPI 1205048469

Stacy Ricardo Gonzales is a General Practice in Houston, Texas. Stacy Ricardo Gonzales practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stacy Ricardo Gonzales is 1205048469. The last update date is 2007-07-09.

Stacy Ricardo Gonzales's current location address is 10216 Beechnut St., Houston, Texas. You can contact this provider via phone number 2815301900 and fax number 2815301901. The mailing address for Stacy Ricardo Gonzales is 10216 Beechnut St., Houston, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacy Ricardo Gonzales
Address 10216 Beechnut St., Houston, Texas
Phone Number 2815301900
Fax Number 2815301901
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1205048469
Provider Enumeration Date 2007-05-03
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 10216 Beechnut St.
City Houston
State Texas (TX)
Post Code 770725016
Phone Number 2815301900
Fax Number 2815301901

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 18944
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Stacy Ricardo Gonzales

What is the Stacy Ricardo Gonzales's 1205048469?

The Stacy Ricardo Gonzales's NPI (National Provider Identifier) Number is 1205048469. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Stacy Ricardo Gonzales is geographically located?

The Stacy Ricardo Gonzales is physically situated at the following location: 10216 Beechnut St., Houston, TX, 770725016.

What is Stacy Ricardo Gonzales's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Stacy Ricardo Gonzales's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did Stacy Ricardo Gonzales receive its 1205048469 assignment from the Centers for Medicare & Medicaid Services?

The Stacy Ricardo Gonzales was assigned its 1205048469 on 2007-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Stacy Ricardo Gonzales, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Stacy Ricardo Gonzales, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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