Provider Demographics
NPI:1073553467
Name:HUGO R. GONZALEZ & ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:HUGO R. GONZALEZ & ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-453-8328
Mailing Address - Street 1:11040 EAST FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77029-1931
Mailing Address - Country:US
Mailing Address - Phone:713-453-8328
Mailing Address - Fax:713-453-6251
Practice Address - Street 1:11040 EAST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-1931
Practice Address - Country:US
Practice Address - Phone:713-453-8328
Practice Address - Fax:713-453-6251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX082483101Medicaid
00F61YMedicare ID - Type Unspecified
TX082483101Medicaid