David Gonzalez,M.D.,PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

K5543 Issued in TX

Legal business name

DAVID GONZALEZ,M.D.,PLLC

Practice address

14439 NW Military Hwy
Ste 108 PMB 619
Shavano Park, TX 78231-1646

Phone

(210) 260-0390

Fax

(210) 408-2814

NPI assigned

Jun 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. David Gonzalez, M.D.

Title

Managing Member

Phone

(210) 260-0390

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1619358447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14439 NW MILITARY HWY",
            "address_2": "STE 108 PMB 619",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311646",
            "telephone_number": "210-260-0390",
            "fax_number": "210-408-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14439 NW MILITARY HWY",
            "address_2": "STE 108 PMB 619",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311646",
            "telephone_number": "210-260-0390",
            "fax_number": "210-408-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GONZALEZ,M.D.,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "210-260-0390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K5543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Shavano Park, TX
• Providers in Shavano Park, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.