JACQUELINE GONZALEZ NPI 1053980953

NPI Information

NPI: 1053980953
Provider Name: JACQUELINE GONZALEZ
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
3721 WILLIAMS DR
GEORGETOWN, TX
ZIP 78628
Phone: (512) 869-7310
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Jacqueline Gonzalez is a surgical physician assistant in Georgetown, TX. Jacqueline Gonzalez NPI is 1053980953. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3721 WILLIAMS DR
GEORGETOWN, TX
ZIP 78628-401
Phone: (512) 869-7310

The NPI 1053980953 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2021 and was last updated on 9/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PATEMP	TEXAS	No
2	363AS0400X	Physician Assistant	Surgical	TEMPORARY	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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