CASSIE LEE GONZALES APN NPI 1306169701

NPI Information

  • NPI: 1306169701
  • Provider Name: CASSIE LEE GONZALES, APN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2602 SAINT MICHAEL DR
    TEXARKANA, TX
    ZIP 75503
  • Phone: (903) 614-5090

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NPI Details

Cassie Lee Gonzales, APN is a family nurse practitioner in Texarkana, TX. Cassie Lee Gonzales, APN NPI is 1306169701. 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:

2602 SAINT MICHAEL DR
TEXARKANA, TX
ZIP 75503-387
Phone: (903) 614-5090

The NPI 1306169701 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/12/2010 and was last updated on 3/12/2010.

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
1363LF0000XNurse PractitionerFamilyR73142TEXASYes

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: 3/30/2025

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