MARY ELVA GONZALES NP-C NPI 1730660234

NPI Information

  • NPI: 1730660234
  • Provider Name: MARY ELVA GONZALES, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1100 WILFORD HALL LOOP
    JBSA LACKLAND, TX
    ZIP 78236
  • Phone: (210) 292-0168

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NPI Details

Mary Elva Gonzales, NP-C is a family nurse practitioner in Jbsa Lackland, TX. Mary Elva Gonzales, NP-C NPI is 1730660234. 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:

1100 WILFORD HALL LOOP
JBSA LACKLAND, TX
ZIP 78236-638
Phone: (210) 292-0168

The NPI 1730660234 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 8/23/2018 and was last updated on 12/14/2021.

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
1363LF0000XNurse PractitionerFamilyAP138287TEXASYes

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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