Doctor Name: | KATHERINE GONZALEZ |
NPI Number: | 1003294943 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 619038 |
Business Practice Address: | 3501 Moreland Dr Weslaco, TX - 785969132 |
Business Phone Number: | 9569683000 |
Business Fax Number: | 9569683009 |
Mailing Address: | 3501 Moreland Dr, WESLACO |
State: | TX |
Postal Code: | 785969132 |
Phone Number: | 9569683000 |
Fax Number: | 9569683009 |
NPI Enumeration Date: | 05/12/2015 |
NPI Last Update Date: | 05/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 619038 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |