Provider Demographics
NPI:1366026619
Name:GALA GONZALEZ, ANGELA (MD, BCHC)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:GALA GONZALEZ
Suffix:
Gender:F
Credentials:MD, BCHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13726 STABLEDON DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-2146
Mailing Address - Country:US
Mailing Address - Phone:281-935-7568
Mailing Address - Fax:
Practice Address - Street 1:13726 STABLEDON DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-2146
Practice Address - Country:US
Practice Address - Phone:281-935-7568
Practice Address - Fax:281-393-4473
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-11
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No251S00000XAgenciesCommunity/Behavioral Health