Active NPI
Victor Gonzalez, M.D.
- Surgery Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- M4104
- Practice address
- 7777 Forest LN
Suite a-234
Dallas, TX 75230-2505 - Phone
- (972) 566-7810
- Fax
- (972) 566-6285
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | M4104 | TX | Primary |
| Surgery Physician | 208600000X | A76267 | CA |
Addresses
Primary practice location
7777 Forest LN
Suite a-234
Dallas, TX 75230-2505
Mailing address
7777 Forest LN
Suite a-234
Dallas, TX 75230-2505
Phone (972) 566-7810
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76267 | CA | MD | Surgery Physician |
| M4104 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Surgery Group PLLC | Surgery | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Surgery | Current | Accepting new patients |
| Healthtexas Provider Network | Past | Accepting new patients | |
| Collin Surgical Group, PA | Surgery | Past | Accepting new patients |
| E.L. Felix, MD, Inc. | Past | Accepting new patients |
Locations
301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742
7777 Forest Ln
Ste C670
Dallas, TX 75230
Phone (972) 566-7810
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
Interoperability endpoints
- victor.gonzalez.1@13131.direct.athenahealth.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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dba Calif. Institure of Minimally Invasive Surgery
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790896926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "SUITE A-234",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302505",
"telephone_number": "972-566-7810",
"fax_number": "972-566-6285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "SUITE A-234",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302505",
"telephone_number": "972-566-7810",
"fax_number": "972-566-6285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "VICTOR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "M4104",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A76267",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.