Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 685277 | TX |
NPI | 1033359427 |
---|---|
Provider Name | Mrs. Margaret Mary Gonzalez |
First Address | Houston, TX 77041-1748 |
Second Address | Houston, TX 77055-1232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2009 |
Last Update Date | 25/02/2009 |