Provider Demographics
NPI:1750790200
Name:BRIONES-GONZALES, ARACILY
Entity type:Individual
Prefix:
First Name:ARACILY
Middle Name:
Last Name:BRIONES-GONZALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 612
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-4509
Mailing Address - Country:US
Mailing Address - Phone:713-979-3800
Mailing Address - Fax:713-979-3806
Practice Address - Street 1:305 NE LOOP 820; BUSINESS TOWER1
Practice Address - Street 2:SUITE 200
Practice Address - City:HURST
Practice Address - State:UNITED STATES
Practice Address - Zip Code:76053
Practice Address - Country:UM
Practice Address - Phone:817-292-8787
Practice Address - Fax:817-789-6849
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2052493225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant