Provider Demographics
NPI:1114116332
Name:GONZALES, ALMA (CRT/RCP)
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:
Last Name:GONZALES
Suffix:
Gender:F
Credentials:CRT/RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9299 KIRBY DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2520
Mailing Address - Country:US
Mailing Address - Phone:713-578-2460
Mailing Address - Fax:
Practice Address - Street 1:9299 KIRBY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2520
Practice Address - Country:US
Practice Address - Phone:713-578-2460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX588242278H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health