Provider Demographics
NPI:1346713583
Name:GONZALEZ, PATRICIA (NP-C)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10242 GREENHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1833
Mailing Address - Country:US
Mailing Address - Phone:832-653-2946
Mailing Address - Fax:832-653-6656
Practice Address - Street 1:10242 GREENHOUSE RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1833
Practice Address - Country:US
Practice Address - Phone:832-653-2946
Practice Address - Fax:832-653-6656
Is Sole Proprietor?:No
Enumeration Date:2019-01-10
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145243363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily