| Doctor Name: | MRS. IRASEMA GONZALEZ |
| NPI Number: | 1023399169 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 693173 |
| Business Practice Address: | 1500 S Bryan Rd Mission, TX - 785726672 |
| Business Phone Number: | 9565803100 |
| Business Fax Number: | 9565859921 |
| Mailing Address: | 2007 Liberty Dr, PALMVIEW |
| State: | TX |
| Postal Code: | 785740363 |
| Phone Number: | 9564538497 |
| Fax Number: | 9565807474 |
| NPI Enumeration Date: | 09/02/2011 |
| NPI Last Update Date: | 06/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 693173 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |