DR. DALYSSA RENEE GONZALEZ (NPI# 1336767466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336767466 |
| Entity Type | Individual |
| Full Name | DR. DALYSSA RENEE GONZALEZ |
| Credential | OD |
| Practice Address |
24165 Ih 10 W Ste 125 San Antonio TX 78257-1160 |
| Practice Telephone | 2106982020 |
| Practice Fax Number | 2106987886 |
| Mailing Telephone | 2106982020 |
| Mailing Fax Number | 2106987886 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
24165 IH 10 W STE 125 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78257-1160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737941 | Barton Skinner | Nurse Practitioner | 17806 W I-10, Suite 300, San Antonio, TX 78257 | 2020-10-14 |
| 1639794464 | Gabriel Ezequiel Cantu | Behavior Technician | 21727 I-10, Unit 108, San Antonio, TX 78257 | 2020-06-08 |
| 1588135719 | Alejandro Daniel Perez | Military Health Care Provider | Wilderness Trl & Camp Bullis, San Antonio, TX 78257 | 2018-12-16 |
| 1386139434 | Callie D Harris | Nurse Practitioner | 22135 I-10, San Antonio, TX 78257 | 2018-06-29 |
| 1093231326 | Melissa Lauren Nguyen | Military Health Care Provider | 5425 Mc Williams Dr., Medical Aid Station Bldg 5425 Rm 104, San Antonio, TX 78257 | 2017-08-18 |
| 1902337165 | Hania Alkudmani | Dentist | 24051 W Interstate 10, San Antonio, TX 78257 | 2017-03-21 |
| 1043767569 | My Er Stcpr, Lp | Clinic/Center | 5431 North Loop 1604 West, San Antonio, TX 78257 | 2016-09-01 |
| 1649726381 | Aaron Stares | Physical Therapist | 23127 Interstate Highway 10, Suite 203, San Antonio, TX 78257 | 2016-09-01 |
| 1457700023 | Shelly Marquard | Dietitian, Registered | 22211 I-10 West, #1206, San Antonio, TX 78257 | 2016-06-06 |
| 1245695337 | Ao Iom, Pllc | Electrodiagnostic Medicine | 17503 Lacantera Parkway Suite 104 # 422, San Antonio, TX 78257 | 2015-12-16 |
| Find all providers in zip 78257 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1851909147 | Shayan Ahmed | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr # 7742, San Antonio, TX 78229-3901 | 2020-07-22 |
| 1306464524 | Nancy Mo | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio - Agdc, 8210 Floyd Curl Drive, Msc 8103, San Antonio, TX 78229-3923 | 2020-07-14 |
| 1073131587 | Keaton Shin | Student in an Organized Health Care Education/Training Program | 7123 Gallery Rdg, San Antonio, TX 78250-3305 | 2020-07-10 |
| 1619595154 | Sarah Connell | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Aegd, 8210 Floyd Curl Dr Msc 8103, San Antonio, TX 78229-3923 | 2020-07-10 |
| 1740807197 | Bradley James Miller | Student in an Organized Health Care Education/Training Program | 146 Agency Oaks, San Antonio, TX 78249-1538 | 2020-07-01 |
| 1396361085 | Tu Dao | Student in an Organized Health Care Education/Training Program | 8338 Hudson Holw, San Antonio, TX 78254-4588 | 2020-06-18 |
| 1386267730 | Juliana Gaviria Velasquez | Student in an Organized Health Care Education/Training Program | 5039 Hamilton Wolfe Rd Apt 1207, San Antonio, TX 78229-4457 | 2020-05-20 |
| 1477175065 | David Alonso Martinez | Student in an Organized Health Care Education/Training Program | 11659 Tribute Oaks, San Antonio, TX 78254-2103 | 2020-05-18 |
| 1396367975 | Jacob Daniel De La Garza | Student in an Organized Health Care Education/Training Program | 1415 N Main Ave Apt 1325, San Antonio, TX 78212-4306 | 2020-05-18 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78257 |
Please comment or provide details below to improve the information on DR. DALYSSA RENEE GONZALEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.