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Prof. Richard H Gonzales, CP,LPO
Prosthetist in Longview, Texas
NPI 1326252560

Richard H Gonzales is a Prosthetist based in Longview, TX. Richard H Gonzales practices in Longview, TX and has the professional credentials of CP,LPO. The NPI Number for Richard H Gonzales is 1326252560 and holds a License No. 131 (Texas).

The current practice location address for Richard H Gonzales is 407 N 4Th St, Longview, TX and can be reached out via phone at 903-241-0675 and via fax at 903-234-0248.

Location: 407 N 4Th St, Longview, TX, 75601-6512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326252560
Provider Name
Richard H Gonzales
Credential
CP,LPO
Provider Entity Type
Individual
Gender
Male
Address
407 N 4Th St, Longview, TX, 75601-6512
Phone Number
903-241-0675
Fax Number
903-234-0248
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
69606542 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
407 N 4Th St
City
Longview
State
Texas
Zip
75601-6512
Phone Number
903-241-0675
Fax Number
903-234-0248
person
Provider Business Mailing Address Details
Address
407 N 4Th St
City
Longview
State
Texas
Zip
75601-6512
Phone Number
903-241-0675
Fax Number
903-234-0248
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
131 (Texas)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
131 (Texas)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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