Individual
ELIZABETH GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
12220 RC POE RD, EL PASO, TX 79938-4921
(915) 642-7004
Mailing address
12220 RC POE RD, EL PASO, TX 79938-4921
(915) 642-7004
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1201595
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1201595
TX
Other
Enumeration date
06/11/2025
Last updated
04/06/2026
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