Individual provider Active NPI

Pablo Isaias Gonzalez, MD

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1730355181
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N9862 Issued in TX
Practice address
7400 Merton Minter St
Psychiatry Dept 116a
San Antonio, TX 78229-4404
Phone
(210) 699-2191
NPI assigned
May 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X N9862 TX Primary

Addresses

Primary practice location

7400 Merton Minter St
Psychiatry Dept 116a
San Antonio, TX 78229-4404

Mailing address

7400 Merton Minter St
Psychiatry Dept 116a
San Antonio, TX 78229-4404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200212000657 TX Practitioner - Psychiatry 3971939893 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Psychiatry CurrentSince Mar 10, 2025 Accepting new patients
Forefront-Rush Medical Service PA Psychiatry CurrentSince Jan 1, 2020 Accepting new patients
Steward Texas Hospital Holdings LLC Past Accepting new patients
Big Spring Texas Hospital Company LLC Past Accepting new patients
Steward Texas Hospital Holdings LLC Past Accepting new patients
Big Spring Texas Hospital Company LLC Past Accepting new patients

Locations

1901 Medi Park Dr
Ste 2058
Amarillo, TX 79106
Phone (806) 354-9540

1901 Medi Park Dr
Ste 219
Amarillo, TX 79106
Phone (806) 356-7744

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

400 Ranger St
Hereford, TX 79045
Phone (806) 364-0661

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

Interoperability endpoints

  • Direct secure messaging: pablo.gonzalez.1@24287.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1730355181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 MERTON MINTER ST",
            "address_2": "PSYCHIATRY DEPT 116A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 MERTON MINTER ST",
            "address_2": "PSYCHIATRY DEPT 116A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294404",
            "telephone_number": "210-699-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "PABLO",
        "middle_name": "ISAIAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N9862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.