Individual provider · Type 1 NPI
Christine M. Gonzales, PA
Medical Physician Assistant · Dallas, TX
NPI number
1831433861
Active
Practice location
3624 Oak Lawn Ave Ste 110B
Dallas, TX 75219-4711
Fax (361) 200-4261
Other practice locations
- 15510 Wright Brothers Dr, Addison, TX 75001-4273 · (214) 892-2271
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | PA08075 (TX) |
| Physician Assistant | 363A00000X | PA5504 (MA) |
| Medical Physician Assistant Primary | 363AM0700X | PA08075 (TX) |
Medical Physician Assistant: Definition to come...
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About NPI 1831433861
Christine M. Gonzales, PA's National Provider Identifier is 1831433861, issued on Nov 15, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Oct 9, 2022.