Nathan Tyler Gonzalez
Dental Public Health Dentist - General Practice
300 N. Sherman St.
Mexia
, Texas 76667-0350
Nathan Tyler Gonzalez
Dental Public Health Dentist - General Practice
300 N. Sherman St.
Mexia
, Texas 76667-0350
(254) 562-5041
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About
Features
Specialties
- Dental Public Health
- General Practice
Languages spoken
- English
Location
First Address
- Nathan Tyler Gonzalez
- P.o. Box 350
- Mexia, TX
- Zip : 76667-0350
- Fax : (254) 562-5041
- Phone : (254) 562-5347
Second Address
- Nathan Tyler Gonzalez
- 300 N. Sherman St.
- Mexia, TX
- Zip : 76667-0350
- Fax : (254) 562-5041
- Phone : (254) 562-5347
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223D0001X | Dental Public Health | 28893 | TX |
| Y | 1223G0001X | General Practice | 28893 | TX |
| Y | 213EG0000X | General Practice | 28893 | TX |
National Provider Identifier
| NPI | 1114369188 |
|---|---|
| Provider Name | Nathan Tyler Gonzalez |
| First Address | Mexia, TX 76667-0350 |
| Second Address | Mexia, TX 76667-0350 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2013 |
| Last Update Date | 20/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 412981901 | (05) | 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.