Individual provider · Type 1 NPI

Kacie Wallace Gonzales

Physician Assistant · Bryan, TX

NPI number 1649899600 Active

Practice location

2215 E Villa Maria Rd Ste 110
Bryan, TX 77802-2585

Call (979) 776-2000 Map

Fax (866) 733-2572

Other practice locations

  • 2435 Harvey Mitchell Parkway South, College Station, TX 77845 · (979) 776-2000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X3181 (OK)
Physician Assistant Primary 363A00000X14298 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1649899600

Kacie Wallace Gonzales's National Provider Identifier is 1649899600, issued on Apr 10, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bryan, TX. The record was last updated on Jan 29, 2026.