Provider Demographics
NPI:1548268915
Name:GONZALEZ-ROSALES, FRANCISCO (MD)
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:
Last Name:GONZALEZ-ROSALES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 COIT RD
Mailing Address - Street 2:301
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-0500
Mailing Address - Country:US
Mailing Address - Phone:972-335-4124
Mailing Address - Fax:972-334-9817
Practice Address - Street 1:4401 COIT RD
Practice Address - Street 2:301
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-0500
Practice Address - Country:US
Practice Address - Phone:972-335-4124
Practice Address - Fax:972-334-9817
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0216207R00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7926270OtherAETNA PROVIDER NUMBER
TX1693707-01Medicaid
TX8M8140OtherBCBS PROVIDER
TX0040LMOtherBCBS GROUP NUMBER
TX1693707-01Medicaid
TX0040LMOtherBCBS GROUP NUMBER
TXH23397Medicare UPIN