Active NPI
Christina Isabel Gonzales, OPA-C
- Physician Assistant
- Houston, TX
National Provider Identifier
1376733865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 760
- Practice address
- 6624 Fannin St
Suite 2600
Houston, TX 77030-2312 - Phone
- (713) 790-1818
- Fax
- (713) 790-7500
- NPI assigned
- Jul 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 760 | TX | Primary |
Addresses
Primary practice location
6624 Fannin St
Suite 2600
Houston, TX 77030-2312
Mailing address
6624 Fannin St
Suite 2600
Houston, TX 77030-2312
Phone (713) 790-1818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 760 | Other | TX | OPA-C CERTIFICATION # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 760 | TX | MD | Electroneurodiagnostic Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185840000000",
"number": "1376733865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6624 FANNIN ST",
"address_2": "SUITE 2600",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302312",
"telephone_number": "713-790-1818",
"fax_number": "713-790-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6624 FANNIN ST",
"address_2": "SUITE 2600",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302312",
"telephone_number": "713-790-1818",
"fax_number": "713-790-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "CHRISTINA",
"middle_name": "ISABEL",
"credential": "OPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-31",
"last_updated": "2007-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "760",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPA-C CERTIFICATION #",
"identifier": "760",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.