Doctor Name: | MONICA ESPERANZA GONZALEZ |
NPI Number: | 1962642777 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | PA05847 |
Business Practice Address: | 1500 1st St Mercedes, TX - 78570 |
Business Phone Number: | 9567878915 |
Business Fax Number: | 9567872021 |
Mailing Address: | P.o. Box 1689, PHARR |
State: | TX |
Postal Code: | 78577 |
Phone Number: | 9567878915 |
Fax Number: | 9567872021 |
NPI Enumeration Date: | 03/06/2009 |
NPI Last Update Date: | 08/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA05847 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |