Provider Demographics
NPI:1356014807
Name:GONZALEZ, MELISSA M (RN IBCLC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:M
Last Name:GONZALEZ
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Gender:F
Credentials:RN IBCLC
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Mailing Address - Street 1:3007 WOODLAND HILLS DR # 205
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1403
Mailing Address - Country:US
Mailing Address - Phone:281-626-5271
Mailing Address - Fax:281-572-0627
Practice Address - Street 1:3100 RICHMOND AVE STE 401
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3015
Practice Address - Country:US
Practice Address - Phone:281-305-0411
Practice Address - Fax:281-572-0627
Is Sole Proprietor?:No
Enumeration Date:2021-07-30
Last Update Date:2024-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX821646163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant