Individual
MRS. LISA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC/AC
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-0000
Mailing address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-0000
(512) 324-0000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
761420
TX
Other
Enumeration date
08/06/2013
Last updated
03/02/2020
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