Provider Demographics
NPI:1730139585
Name:GONZALEZ, AURORA (MD)
Entity Type:Individual
Prefix:
First Name:AURORA
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6410 FANNIN ST
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3000
Mailing Address - Country:US
Mailing Address - Phone:713-757-9905
Mailing Address - Fax:713-757-7952
Practice Address - Street 1:6410 FANNIN ST
Practice Address - Street 2:SUITE 1200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-5304
Practice Address - Country:US
Practice Address - Phone:713-757-9905
Practice Address - Fax:713-757-7952
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6762207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX030189706Medicaid
TX219816001Medicaid