Active NPI
Gonzales Healthcare Systems
- Otolaryngology Physician
- Gonzales, TX
National Provider Identifier
1396650586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- GONZALES HEALTHCARE SYSTEMS
- Practice address
- 1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311 - Phone
- (830) 672-8502
- Fax
- (830) 541-5557
- NPI assigned
- Aug 14, 2026
- Last updated
- Aug 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juli Clay
- Title
- Credentialing Specialist
- Phone
- (830) 672-7581
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311
Mailing address
1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311
Phone (830) 672-8502
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786665600000",
"number": "1396650586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 N SARAH DEWITT DR",
"city": "GONZALES",
"state": "TX",
"postal_code": "786293311",
"telephone_number": "830-672-8502",
"fax_number": "830-541-5557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 N SARAH DEWITT DR",
"city": "GONZALES",
"state": "TX",
"postal_code": "786293311",
"telephone_number": "830-672-8502",
"fax_number": "830-541-5557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GONZALES HEALTHCARE SYSTEMS",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-14",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A",
"authorized_official_last_name": "CLAY",
"authorized_official_first_name": "JULI",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "830-672-7581"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gonzales, TX
- Gonzales Dental PLLC
- Gonzales Emergency Partners, PLLC
- Gonzales Healthcare Systems (Sievers Medical Clinic)
- Gonzales Healthcare Systems
- Gonzales Healthcare Systems
- Gonzales Healthcare Systems (Memorial Hospital Home Health)
- Gonzales Healthcare Systems (Memorial Hospital)
- Gonzales Healthcare Systems (The Heights of Gonzales)
- Gonzales Healthcare Systems (Memoral Hospital Home Health - CBA)
- Gonzales Healthcare Systems (Memorial Hospital - Swing Bed)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.