Organization
PETER C. W. GONZALES, M.D., P.A.
Active
Organization
PETER C. W. GONZALES, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER CHAN WONG GONZALES M.D. (PRESIDENT)
(972) 870-5500
Entity
Organization
Contact information
Practice address
3204 N MACARTHUR BLVD, SUITE B, IRVING, TX 75062-4453
(972) 870-5500
(972) 870-5504
Mailing address
3204 N MACARTHUR BLVD, SUITE B, IRVING, TX 75062-4453
(972) 870-5500
(972) 870-5504
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053BF
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/17/2006
Last updated
07/13/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up