Individual provider · Type 1 NPI

Manuel Gonzalez, CPNP

Pediatric Nurse Practitioner · Fort Worth, TX

NPI number 1538568993 Active

Practice location

801 7th Ave
Fort Worth, TX 76104-2733

Call (682) 885-4054 Map

Fax (682) 885-7497

Mailing address

PO Box 99371
Fort Worth, TX 76199-0371

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	AP126119 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1538568993

Manuel Gonzalez, CPNP's National Provider Identifier is 1538568993, issued on Aug 21, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 6, 2021.