# CATHRY J. GONZALES, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164478145
- **Authorized official:** DR. CATHRYN J. GONZALES M.D. (PRESIDENT)
- **Authorized official phone:** (870) 235-1112

## Contact information

- **Practice address:** 1327 N WASHINGTON, MAGNOLIA, AR 71753-2067
- **Practice address phone:** (870) 235-1112
- **Practice address fax:** (870) 235-1114
- **Mailing address:** 1327 N WASHINGTON, MAGNOLIA, AR 71753-2067
- **Mailing address phone:** (870) 235-1112
- **Mailing address fax:** (870) 235-1114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 07/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 04D1052359 | CLIA | AR |
| 05 | — | 161249002 | — | AR |