PETER C. W. GONZALES, M.D., P.A. (NPI# 1558313643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558313643 |
| Entity Type | Organization |
| Organization Name | PETER C. W. GONZALES, M.D., P.A. |
| Practice Address |
3204 N Macarthur Blvd Suite B Irving TX 75062-4453 |
| Practice Telephone | 9728705500 |
| Practice Fax Number | 9728705504 |
| Mailing Telephone | 9728705500 |
| Mailing Fax Number | 9728705504 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-13 |
| Authorized Official Name | DR. PETER CHAN WONG GONZALES (PRESIDENT) |
| Authorized Official Telephone | 9728705500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 0053BF | 01 |
| Street Address |
3204 N MACARTHUR BLVD SUITE B |
| City | IRVING |
| State | TX |
| Zip Code | 75062-4453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124520580 | Margaret Esquivel | Social Worker | 3204 N Macarthur Blvd, Irving, TX 75062 | 2018-03-01 |
| 1902207335 | Patricia Grace Dango-capati Dba Superior Care Clinic | Family Medicine | 3204 N Macarthur Blvd, Building A, Irving, TX 75062-4453 | 2014-09-04 |
| 1598719247 | Peter Chan Wong Gonzales | Psychiatry & Neurology | 3204 N Macarthur Blvd, Suite B, Irving, TX 75062-4453 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029039 | Parham Dental Team, Pllc | Dentist | 3100 N O'connor Rd, # 100, Irving, TX 75062 | 2020-10-05 |
| 1649896119 | Evolve Medical Supply & Equipment, LLC | Durable Medical Equipment & Medical Supplies | 4953 N. O'connor Rd., Suite 150, Irving, TX 75062 | 2020-06-22 |
| 1376198507 | Sanitas Medical Center of Texas Pa | Family Medicine | 3917 West Airport Freeway, Irving, TX 75062 | 2019-08-05 |
| 1295392306 | Rami Marwan El-bkaily | Optometrist | 4100 W Airport Fwy Unit 100, Irving, TX 75062 | 2019-05-23 |
| 1891352118 | Smazy Enterprise LLC | Optometrist | W. Airport Freeway, Ste 122, Irving, TX 75062 | 2019-05-22 |
| 1568029023 | Bcs Management LLC | Physical Therapist | 2642 N Belt Line Rd, Suite 2642, Irving, TX 75062 | 2019-05-21 |
| 1639633696 | In His Image Counseling Center, Pllc | Marriage & Family Therapist | 4425 W. Airport Fwy, Suite 244, Irving, TX 75062 | 2019-01-24 |
| 1316446701 | Thinh Le | Dentist | 4040 W. Northgate Dr., Irving, TX 75062 | 2018-02-12 |
| 1366972259 | Erick Marquez | Dentist | 118 E John W Carpenter Fwy, #170, Irving, TX 75062 | 2017-06-14 |
| 1740718584 | Cosmetic Companions LLC | Home Health | 320 Decker Dr Ste 100, Irving, TX 75062 | 2017-05-24 |
| Find all providers in zip 75062 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174986319 | Neuroscience and Headache Center of North Texas, Pllc | Psychiatry & Neurology | 9607 Valley Lake Ln, Irving, TX 75063-5014 | 2016-04-04 |
| 1003923103 | Michael M Candaras | Psychiatry & Neurology | 12655 Seneca Rd, Irving, NY 14081 | 2006-08-24 |
| 1023077567 | Henry G. Raroque Jr. | Psychiatry & Neurology | 1215 Kinwest Pkwy, Ste 120, Irving, TX 75063 | 2006-03-22 |
| 1003262205 | Revolution Monitoring, LLC | Psychiatry & Neurology | 5005 W Royal Ln, Suite196, Irving, TX 75063-1996 | 2016-05-06 |
| 1538515630 | Revolution Neuromonitoring, LLC | Psychiatry & Neurology | 5005 W Royal Ln, Suite 196, Irving, TX 75063-1996 | 2016-05-06 |
| 1477870954 | Neurocenter Texas Pa | Psychiatry & Neurology | 7701 Las Colinas Rdg Ste 260, Irving, TX 75063-7554 | 2010-04-23 |
| 1114159878 | Novreen Shahdad | Psychiatry & Neurology | 2021 N Macarthur Blvd, Irving, TX 75061-2219 | 2009-08-13 |
| 1467581587 | Deborah T Combs Cantrell, M.d., P.a. | Psychiatry & Neurology | 7301 State Highway 161, Ste 160, Irving, TX 75039-2816 | 2007-03-05 |
| 1215066303 | North Texas Neuroscience Center, P.a. | Psychiatry & Neurology | 7301 State Highway 161, Ste 160, Irving, TX 75039-2816 | 2007-03-05 |
| 1356470454 | Sunil Mathews, M.d., P.a. | Psychiatry & Neurology | 440 W Lyndon B Johnson Fwy, Plaza II, Suite 225, Irving, TX 75063-3707 | 2007-03-05 |
| Find all providers in IRVING | ||||
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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.