Individual
JORDAN GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
17201 I 45 S, THE WOODLANDS, TX 77385-3311
(936) 270-2000
Mailing address
321 MAPLE LN, CONROE, TX 77304-2537
(918) 859-9098
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
830
OK
2255A2300X
Athletic Trainer
Primary
AT6773
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63572
NATIONAL ATHLETIC TRAINERS' ASSOCIATION
OK
01
—
830
OKLAHOMA STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION
OK
01
—
AT6773
TDLR
TX
Enumeration date
05/04/2015
Last updated
08/12/2026
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