Angie T Gonzales
Podiatrist Prosthetist
3910 Gaston Ave
Dallas
, Texas 75246-1511
Angie T Gonzales
Podiatrist Prosthetist
3910 Gaston Ave
Dallas
, Texas 75246-1511
(214) 823-5462
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About
Features
Specialties
- Podiatrist
- Prosthetist
Languages spoken
- English
Location
First Address
- Angie T Gonzales
- 3910 Gaston Ave
- Dallas, TX
- Zip : 75246-1511
- Fax : (214) 823-5462
- Phone : (214) 827-2021
Second Address
- Angie T Gonzales
- 3910 Gaston Ave
- Dallas, TX
- Zip : 75246-1511
- Fax : (214) 823-5462
- Phone : (214) 827-2021
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | LPO 1271 | TX |
| N | 222Z00000X | Podiatrist | LPO 1271 | TX |
| Y | 224P00000X | Prosthetist | LPO 1271 | TX |
National Provider Identifier
| NPI | 1457598427 |
|---|---|
| Provider Name | Angie T Gonzales |
| First Address | Dallas, TX 75246-1511 |
| Second Address | Dallas, TX 75246-1511 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/01/2009 |
| Last Update Date | 13/01/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.