Individual
MRS. MARIA ISABEL GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP
Contact information
Practice address
6400 FANNIN ST STE 2800, HOUSTON, TX 77030-1534
(713) 704-7100
(713) 704-1262
Mailing address
6400 FANNIN ST STE 2070, HOUSTON, TX 77030-1541
(713) 704-6731
(713) 704-6889
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP130271
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00106W
GRP MDCR PTAN NUMBER
TX
01
—
153449704
MDCD TPI GRP #
TX
Enumeration date
07/25/2016
Last updated
11/21/2016
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