Provider Demographics
NPI:1801300090
Name:MADRIGAL, GABRIELA (PA)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:MADRIGAL
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10058A LONG POINT RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-4002
Mailing Address - Country:US
Mailing Address - Phone:832-380-3980
Mailing Address - Fax:832-380-3985
Practice Address - Street 1:10058A LONG POINT RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-4002
Practice Address - Country:US
Practice Address - Phone:832-380-3980
Practice Address - Fax:832-380-3985
Is Sole Proprietor?:No
Enumeration Date:2017-11-27
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA11610363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical