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Contact Information

KATYA MAILLARD GONZALEZ
2401 S 31ST ST
TEMPLE, TX76508-0001
 Phone: 254-724-2111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KATYA MAILLARD GONZALEZ · (Female)

NPI # 1982862249
Status Active
Credentials
Entity Individual
Enumeration date 05/23/2008
Last updated 01/27/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01068842A
  • TX License # Q0500
Hospital affiliation(s)
  • SCOTT & WHITE MEMORIAL HOSPITAL - (Acute Care)
    2401 31ST ST
    TEMPLE, TX 76508
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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