| Ismael Gonzalez, DC | |
|
6101 Windhaven Pkwy Ste 145, Plano, TX 75093-8198 | |
| (972) 473-8980 | |
| Not Available |
| Full Name | Ismael Gonzalez |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 6101 Windhaven Pkwy Ste 145, Plano, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033725544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 14504 (Texas) | Primary |
| Provider Name | Affordable Chiropractic Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003005646 PECOS PAC ID: 7719063577 Enrollment ID: O20080320000064 |
| Provider Name | Affordable Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750996336 PECOS PAC ID: 9436560059 Enrollment ID: O20201202001994 |
| Mailing Address | Practice Location Address |
|---|---|
| Ismael Gonzalez, DC Po Box 733352, Dallas, TX 75373-3352 Ph: (972) 473-8980 | Ismael Gonzalez, DC 6101 Windhaven Pkwy Ste 145, Plano, TX 75093-8198 Ph: (972) 473-8980 |
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