Individual
CHRISTINE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
12564 LIBERTY SCHOOL RD, AZLE, TX 76020-5630
(817) 381-2143
Mailing address
12564 LIBERTY SCHOOL RD, AZLE, TX 76020-5630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1025398
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16159701
CASH PAY
TX
Enumeration date
05/10/2021
Last updated
05/10/2021
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