Active NPI
Alexander Gonzalez, MD
- Pediatrics Physician
- Katy, TX
National Provider Identifier
1639197866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L6401
- Practice address
- 705 S Fry Rd
Suite 120
Katy, TX 77450-2251 - Phone
- (281) 398-3100
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L6401 | TX | Primary |
Addresses
Primary practice location
705 S Fry Rd
Suite 120
Katy, TX 77450-2251
Mailing address
PO Box 841969
Dallas, TX 75284-1969
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TCH Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
| TCH Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
| Southwest Doctors PA | Past | Accepting new patients | |
| TCH Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
| Suncoast Medical Group Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/4066/brand/1/csg/1/fhir/r4
- agonzalez7905@prddirect.texaschildrens.org
Organizations & group practices 5
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.
-
- Preferred Provider Organization
- Houston, TX
- NPI 1871592097
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1376810341
-
- Pediatrics Physician
- Houston, TX
- NPI 1225038326
-
- Pediatrics Physician
- Fulshear, TX
- NPI 1700530441
-
- Pediatrics Physician
- Sugar Land, TX
- NPI 1861492654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1639197866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 841969",
"city": "DALLAS",
"state": "TX",
"postal_code": "752841969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 S FRY RD",
"address_2": "SUITE 120",
"city": "KATY",
"state": "TX",
"postal_code": "774502251",
"telephone_number": "281-398-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ALEXANDER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "L6401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.