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Isaac Gonzales
Student in an Organized Health Care Education/Training Program in Waco, Texas
NPI 1477230183

Isaac Gonzales is a Student in an Organized Health Care Education/Training Program based in Waco, TX. Isaac Gonzales practices in Waco, TX. The NPI Number for Isaac Gonzales is 1477230183 and holds a License No. (Texas).

The current practice location address for Isaac Gonzales is 156 Lajuana Dr, Waco, TX and can be reached out via phone at 254-315-9853.

Location: 156 Lajuana Dr, Waco, TX, 76705-5243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477230183
Provider Name
Isaac Gonzales
Credential
Provider Entity Type
Individual
Gender
Male
Address
156 Lajuana Dr, Waco, TX, 76705-5243
Phone Number
254-315-9853
Fax Number
Provider Enumeration Date
07/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
156 Lajuana Dr
City
Waco
State
Texas
Zip
76705-5243
Phone Number
254-315-9853
Fax Number
person
Provider Business Mailing Address Details
Address
156 Lajuana Dr
City
Waco
State
Texas
Zip
76705-5243
Phone Number
254-315-9853
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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