Individual
MARLEN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-AC
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
10565 CHANNEL DR, DALLAS, TX 75229-4922
(469) 371-6342
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1093607
TX
Other
Enumeration date
09/26/2022
Last updated
10/04/2022
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