MR. ADOLFO GONZALEZ DO NPI 1710071907

NPI Information

NPI: 1710071907
Provider Name: MR. ADOLFO GONZALEZ, DO
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
909 9TH AVE
STE 201
FORT WORTH, TX
ZIP 76104
Phone: (817) 419-0448
Get Directions

MR. Adolfo Gonzalez, DO is a vascular surgery surgery in Fort Worth, TX with 40 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. MR. Adolfo Gonzalez, DO NPI is 1710071907. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduation Year:1984

The provider's business location address is:

909 9TH AVE
STE 201
FORT WORTH, TX
ZIP 76104-903
Phone: (817) 419-0448
Fax: (817) 339-8916

The NPI 1710071907 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 5/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		G8138	TEXAS	No
2	2086S0129X	Surgery	Vascular Surgery	G8138	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	110389702	MEDICAID	TEXAS
2	E51415	MEDICARE UPIN
3	OOD63F	MEDICARE ID-TYPE UNSPECIFIED	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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