Provider Demographics
NPI:1235102849
Name:BELINDA GONZALEZ MD PA
Entity Type:Organization
Organization Name:BELINDA GONZALEZ MD PA
Other - Org Name:FAMILY HEALTH PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-992-5253
Mailing Address - Street 1:5525 S STAPLES ST
Mailing Address - Street 2:SUITE E-1
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-5357
Mailing Address - Country:US
Mailing Address - Phone:361-992-5253
Mailing Address - Fax:361-992-5653
Practice Address - Street 1:5525 S. STAPLES
Practice Address - Street 2:E-1
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411
Practice Address - Country:US
Practice Address - Phone:361-992-5253
Practice Address - Fax:361-992-5653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-13
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6465207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127470606Medicaid
F90856Medicare UPIN
TX8C2565Medicare ID - Type Unspecified