Provider Demographics
NPI:1376311746
Name:GONZALEZ-CRUZ, CORINA IVONNE (APRN-BC)
Entity type:Individual
Prefix:
First Name:CORINA
Middle Name:IVONNE
Last Name:GONZALEZ-CRUZ
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:CORINA
Other - Middle Name:
Other - Last Name:GONZALEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4541 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1651
Mailing Address - Country:US
Mailing Address - Phone:214-504-9942
Mailing Address - Fax:214-504-9940
Practice Address - Street 1:4541 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1651
Practice Address - Country:US
Practice Address - Phone:214-504-9942
Practice Address - Fax:214-504-9940
Is Sole Proprietor?:No
Enumeration Date:2023-12-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1143925363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily