Provider Demographics
NPI:1861658593
Name:GONZALEZ, EMMA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:EMMA
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:333 COMMERCE ST
Mailing Address - Street 2:STE. 700
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37201-1826
Mailing Address - Country:US
Mailing Address - Phone:615-913-5086
Mailing Address - Fax:888-494-2588
Practice Address - Street 1:2455 DUNSTAN RD
Practice Address - Street 2:STE 700
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-2537
Practice Address - Country:US
Practice Address - Phone:615-913-5086
Practice Address - Fax:888-494-2588
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA04255363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical