Dr. Juan Fernando Gonzalez
Oral and Maxillofacial Surgeon
4010 Sandy Brook Dr Ste 204
Round Rock
, Texas 78665-1518
Dr. Juan Fernando Gonzalez
Oral and Maxillofacial Surgeon
4010 Sandy Brook Dr Ste 204
Round Rock
, Texas 78665-1518
(512) 682-9009
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Juan Fernando Gonzalez
- 4010 Sandy Brook Dr Ste 204
- Round Rock, TX
- Zip : 78665-1518
- Fax : (512) 682-9009
- Phone : (512) 375-0050
Second Address
- Dr. Juan Fernando Gonzalez
- 4010 Sandy Brook Dr Ste 204
- Round Rock, TX
- Zip : 78665-1518
- Fax : (512) 682-9009
- Phone : (512) 375-0050
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 22953 | TX |
National Provider Identifier
| NPI | 1073575130 |
|---|---|
| Provider Name | Dr. Juan Fernando Gonzalez |
| First Address | Round Rock, TX 78665-1518 |
| Second Address | Round Rock, TX 78665-1518 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/04/2006 |
| Last Update Date | 23/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 218656102 | (05) | TX |
| 22953 | LICENSE (01) | TX |
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.