David T Gonzales in Fort Worth - Physician Assistant
David T Gonzales - NPI 1588766919
David T Gonzales is a Physician Assistant in Fort Worth, Texas. David T Gonzales practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for David T Gonzales is 1588766919. The last update date is 2015-01-08.
David T Gonzales's current location address is 4201 Camp Bowie Blvd, Fort Worth, Texas. You can contact this provider via phone number 8177310801 and fax number 8177318468. The mailing address for David T Gonzales is 4201 Camp Bowie Blvd, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David T Gonzales |
|---|---|
| Address | 4201 Camp Bowie Blvd, Fort Worth, Texas |
| Phone Number | 8177310801 |
| Fax Number | 8177318468 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1588766919 |
|---|---|
| Provider Enumeration Date | 2006-09-05 |
| Last Updated Date | 2015-01-08 |
Provider Mailing Address Detail
| Address | 4201 Camp Bowie Blvd |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761073928 |
| Phone Number | 8177310801 |
| Fax Number | 8177318468 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA02815 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 287991801 | TX | -- |
Post Comment/ Review Below
What is the David T Gonzales's 1588766919?
The David T Gonzales's NPI (National Provider Identifier) Number is 1588766919. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the unique identifier code issued to David T Gonzales by the Centers for Medicare & Medicaid Services (CMS)?
The David T Gonzales has been assigned the NPI (National Provider Identifier) 1588766919. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of David T Gonzales?
The David T Gonzales is physically situated at 4201 Camp Bowie Blvd, in the city of Fort Worth, state of TX, with the postal code 761073928.
When was the David T Gonzales's 1588766919 issued?
The David T Gonzales's 1588766919 was issued on 2006-09-05.
When was the David T Gonzales's information last updated?
The David T Gonzales's information was last updated on 2015-01-08.
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