Individual provider Active NPI

Laura Garza-Gongora, DNP, FNP-C

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1265834261
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
677980 Issued in TX
Practice address
7210 McPherson Rd Ste 120
Laredo, TX 78041-6505
Phone
(956) 718-6966
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 677980 TX Primary

Addresses

Primary practice location

7210 McPherson Rd Ste 120
Laredo, TX 78041-6505

Mailing address

7210 McPherson Rd Ste 120
Laredo, TX 78041-6505
Phone (956) 718-6966

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150422001429 TX Practitioner - Nurse Practitioner 2860710860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7210 McPherson Rd
Suite 120
Laredo, TX 78041-6505

Hospital & facility affiliations

  • Laredo Medical Center Hospital, Laredo, TX, CCN 450029
  • Doctors Hospital of Laredo Hospital, Laredo, TX, CCN 450643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
677980TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johol C Chan DO PA CurrentSince Feb 3, 2015 Accepting new patients

Locations

7210 McPherson Rd
Ste 120
Laredo, TX 78041
Phone (956) 718-6966

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1265834261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 MCPHERSON RD STE 120",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416505",
            "telephone_number": "956-718-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 MCPHERSON RD STE 120",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416505",
            "telephone_number": "956-718-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA-GONGORA",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "677980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.