NICOLE R GONZALES (NPI# 1467481093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467481093 |
| Entity Type | Individual |
| Full Name | NICOLE R GONZALES |
| Credential | M.D. |
| Practice Address |
6410 Fannin St 1014 Houston TX 77030-3000 |
| Mailing Address |
6431 Fannin St Msb 7.118 Houston TX 77230-1173 |
| Practice Telephone | 8323257080 |
| Mailing Telephone | 8323257080 |
| Mailing Fax Number | 7135122239 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2018-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
M0736 | TX | Allopathic & Osteopathic Physicians |
| Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
M0736 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 151830001 | 05 | |
| TX | BCBSTX | 8R6147 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952771537 | Nicole Gonzales | Occupational Therapy Assistant | 8712 Marshall St, Rosemead, CA 91770-1816 | 2015-09-25 |
| 1124552815 | Nicole M Gonzales | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2017-04-19 |
| 1992133821 | Nicole Gonzales | Social Worker | 312 Court St, Ville Platte, LA 70586-5248 | 2013-11-01 |
| 1740618107 | Nicole Gonzales | Acupuncturist | 1331 Grand Ave, Piedmont, CA 94610-1019 | 2013-10-23 |
| 1689989659 | Nicole Gonzales | Pharmacist | 100 W Judge Perez Dr, Chalmette, LA 70043-5002 | 2010-08-13 |
| 1598089997 | Nicole Alicia Gonzales | Internal Medicine | 611 Mocksville Ave, Salisbury, NC 28144-2705 | 2010-03-15 |
| 1619172889 | Nicole Gonzales | Specialist | 1375 E 20th Ave, Denver, CO 80205-5423 | 2007-06-18 |
| Street Address |
6410 FANNIN ST 1014 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497758130 | Raymond A. Martin | Psychiatry & Neurology | 6410 Fannin St, Ste 1014, Houston, TX 77030-3000 | 2005-05-26 |
| 1841803756 | Bethany Wright Moura | Pediatrics | 6410 Fannin St, Houston, TX 77030-3000 | 2020-08-29 |
| 1922637255 | Brittany Dionne Jones-linares | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Suite Msb 4.020, Houston, TX 77030-3000 | 2020-04-08 |
| 1952933756 | Tania E De Los Reyes | Dietitian, Registered | 6410 Fannin St, Houston, TX 77030-3000 | 2020-02-10 |
| 1295296218 | Braden Fraser Goldberg | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Houston, TX 77030-3000 | 2019-03-31 |
| 1073089827 | Alana Claire Cecchi | Genetic Counselor, MS | 6410 Fannin St, Houston, TX 77030-3000 | 2018-10-19 |
| 1609350370 | Dianna Joann Schmeda | Nurse Practitioner | 6410 Fannin St, Suite 950, Houston, TX 77030 | 2018-09-19 |
| 1770073645 | April Laquinta Moore | Nurse Practitioner | 6410 Fannin St, Houston, TX 77030-3000 | 2018-05-15 |
| 1639669872 | Ezra Yujin Koh | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Suite 1400, Houston, TX 77030-3000 | 2018-05-14 |
| 1093210163 | Mesk Alrais | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Houston, TX 77030-3000 | 2018-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 2084V0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Vascular Neurology |
| Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659614931 | Dimitre Mirtchev | Psychiatry & Neurology | 6431 Fannin St, Suite 7.044, Houston, TX 77030 | 2013-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225280704 | Longview Neurological Clinic Pllc | Psychiatry & Neurology | 2441 E Us Highway 377, Suite 105, Granbury, TX 76049-5991 | 2008-10-16 |
| 1508063900 | Vivek Hasmukh Tank | Psychiatry & Neurology | 5012 S Us Highway 75 Ste 230, Denison, TX 75020-4634 | 2007-06-29 |
| 1760698583 | Lorenzo Gustavo Blas | Psychiatry & Neurology | 25510 I-45 North, Suite 200, Spring, TX 77386 | 2007-05-16 |
| 1407925886 | Steven Warach | Psychiatry & Neurology | 1400 N. I35, Suite 300, Austin, TX 78701 | 2006-11-07 |
| 1013451038 | Heart of Texas Neurology and Sleep, Pllc | Psychiatry & Neurology | 3613 Williams Dr, Suite 1006, Georgetown, TX 78628-1377 | 2016-12-09 |
| 1831553668 | Kyna Naomi Schreiber | Psychiatry & Neurology | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2016-04-07 |
| 1881077857 | Charles Thomas Md Pa | Psychiatry & Neurology | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2015-07-08 |
| 1326425281 | Shyam Panchal | Psychiatry & Neurology | 17183 Interstate 45 S Ste 690, Shenandoah, TX 77385-3317 | 2015-04-29 |
| 1043630080 | Christian Eduardo Cajavilca | Psychiatry & Neurology | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2014-04-17 |
| 1316367410 | Jason Neal | Psychiatry & Neurology | 2401 S 31st St, Temple, TX 76508-3726 | 2014-04-16 |
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| 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.