Provider Demographics
NPI:1720686967
Name:GONZALEZ-SANCHEZ, BEATRIZ
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:
Last Name:GONZALEZ-SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BEATRIZ
Other - Middle Name:
Other - Last Name:GONZALEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:909 BUSINESS PARK DR STE 11
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-6054
Mailing Address - Country:US
Mailing Address - Phone:956-325-5293
Mailing Address - Fax:956-766-7441
Practice Address - Street 1:909 BUSINESS PARK DR STE 11
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6054
Practice Address - Country:US
Practice Address - Phone:956-502-0912
Practice Address - Fax:956-766-7012
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-10
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80780101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX421105401Medicaid