Provider Demographics
NPI:1952662215
Name:GONZALEZ, ASHLEY SUZANNE BRUNS (DO)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:SUZANNE BRUNS
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 FANNIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1906
Mailing Address - Country:US
Mailing Address - Phone:713-791-7322
Mailing Address - Fax:713-383-2999
Practice Address - Street 1:7600 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054
Practice Address - Country:US
Practice Address - Phone:713-791-7322
Practice Address - Fax:713-383-2999
Is Sole Proprietor?:No
Enumeration Date:2012-06-04
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ4051208000000X, 2080N0001X
MO2012018672208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics