Carlos Jose Gonzalez, M.D

Primary specialty

SpecialistTaxonomy code 174400000X

License

G2375 Issued in TX

Practice address

11301 Fallbrook Dr
304
Houston, TX 77065-4237

Phone

(281) 955-7625

Fax

(281) 955-2024

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1104914266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 FALLBROOK DR",
            "address_2": "304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654237",
            "telephone_number": "281-955-7625",
            "fax_number": "281-955-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 FALLBROOK DR",
            "address_2": "304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654237",
            "telephone_number": "281-955-7625",
            "fax_number": "281-955-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CARLOS",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G2375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "G2375",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Gonzalez, PHD, MS, LPC-S, LCDC
• Ashley Suzanne Bruns Gonzalez, D.O.
• Athena Briana Gonzalez, LMT
• Aurora Gonzalez, M.D.
• Bridget Gonzalez, PT
• Carmen E Gonzalez, M.D.
• Cathy Elizabeth Gonzalez
• Cesar Gonzalez
• Christian Bailey Gonzalez, FNP
• D Patrick Gonzalez, M.D.

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.