Individual provider · Type 1 NPI

Jorge Luis Gonzalez Jr., APRN

Pediatric Nurse Practitioner · Dallas, TX

NPI number 1639042583 Active

Practice location

1935 Medical District Dr
Dallas, TX 75235-7701

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner 363LP0222X1214188 (TX)
Pediatric Nurse Practitioner Primary 363LP0200X1214188 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1639042583

Jorge Luis Gonzalez Jr., APRN's National Provider Identifier is 1639042583, issued on Sep 26, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Oct 14, 2025.