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Contact Information

MARK GONZALES
1101 W 34TH ST
SUITE 635
AUSTIN, TX78705-1907
 Phone: 512-934-3536
 Fax: 866-886-5800
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MARK GONZALES · (Male)

NPI Number 1710379342
Status Active
Credentials
Entity Individual
Enumeration date 02/18/2015
Last updated 02/18/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 1001271
Hospital affiliation(s) Not Available
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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