Provider Demographics
NPI:1912870908
Name:GONZALES, ANA KARINA
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:KARINA
Last Name:GONZALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:KARINA
Other - Last Name:CORRALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1801 N ZARAGOZA RD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-8042
Mailing Address - Country:US
Mailing Address - Phone:915-249-3106
Mailing Address - Fax:915-249-3163
Practice Address - Street 1:1801 N ZARAGOZA RD STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-7926
Practice Address - Country:US
Practice Address - Phone:915-249-3106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-25
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1209356363LF0000X
TX828189163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse