Active NPI
Rosa C Gonzalez, M.D., P.a.
- Child & Adolescent Psychiatry Physician
- Beaumont, TX
National Provider Identifier
1639248503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- JO763
- Legal business name
- ROSA C GONZALEZ, M.D., P.A.
- Practice address
- 3560 Delaware St
Suite 109
Beaumont, TX 77706-3067 - Phone
- (409) 892-9347
- Fax
- (409) 892-8803
- NPI assigned
- Nov 7, 2006
- 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
- Dr. Rosa C Gonzalez, M.D.
- Title
- President
- Phone
- (409) 892-9347
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | JO763 | TX | Primary |
Addresses
Primary practice location
3560 Delaware St
Suite 109
Beaumont, TX 77706-3067
Mailing address
3560 Delaware St
Suite 109
Beaumont, TX 77706-3067
National Provider Directory
National Provider DirectoryLocations
3560 Delaware St
Ste 109
Beaumont, TX 77706
Phone (409) 892-9347
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Beaumont, TX
- NPI 1306199385
Child & Adolescent Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1639248503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3560 DELAWARE ST",
"address_2": "SUITE 109",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777063067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3560 DELAWARE ST",
"address_2": "SUITE 109",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777063067",
"telephone_number": "409-892-9347",
"fax_number": "409-892-8803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSA C GONZALEZ, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "ROSA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "409-892-9347",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "JO763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.