John & Patricia Gonzales
Organization Active NPI Pediatrics Physician · Donna, TX
NPI 1548436686 · NPPES record last updated Oct 14, 2015
Key facts
- NPI
- 1548436686
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- JOHN & PATRICIA GONZALES
- Practice address
- 701 N Main St
Donna, TX 78537-2765 - Phone
- (956) 464-3649
- Fax
- (956) 464-3670
- NPI assigned
- May 7, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Jerry F. Castilleja, M.D.
- Title
- Medical Director
- Phone
- (956) 464-3649
National Provider Directory
Locations
701 N Main St
Donna, TX 78537
Phone (956) 464-3649
701 N Main St
Ste B
Donna, TX 78537
Phone (956) 464-3649
712 Lindberg Ave
McAllen, TX 78501
Phone (956) 682-8800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
701 N Main St
Donna, TX 78537-2765
Mailing address
701 N Main St
Suite B
Donna, TX 78537-2765
Phone (956) 464-3649
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190228001 | Medicaid | TX |
Other names
- Divine Children's Clinic
Other providers in Donna, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.