Individual
MRS. AMY PHILLIPS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1203 S TYLER ST, COVINGTON, LA 70433-2353
(985) 898-7175
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
333003
LA
363A00000X
Physician Assistant
PA12131
TX
Other
Enumeration date
01/07/2019
Last updated
05/29/2023
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