Individual
DORIS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
897 N MACARTHUR BLVD STE 110, COPPELL, TX 75019-2707
(972) 861-1143
Mailing address
4944 PRESTON RD STE 100A, FRISCO, TX 75034-8987
(972) 345-1391
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1016146
TX
363LG0600X
Gerontology Nurse Practitioner
1016146
TX
363LP2300X
Primary Care Nurse Practitioner
1016146
TX
Other
Enumeration date
10/06/2020
Last updated
07/19/2021
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