Individual
MRS. CHRISTINE M GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3624 OAK LAWN AVE STE 110B, DALLAS, TX 75219-4711
(214) 892-2271
(361) 200-4261
Mailing address
3624 OAK LAWN AVE STE 110B, DALLAS, TX 75219-4711
(214) 892-2271
(361) 200-4261
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
PA08075
TX
363A00000X
Physician Assistant
PA5504
MA
363AM0700X
Medical Physician Assistant
Primary
PA08075
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320119960
TAX ID
TX
Enumeration date
11/15/2012
Last updated
10/09/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us