AMY BREEDLOVE GONZALES


Address: 1500 Citywest Blvd Ste 300, Houston, TX 77042
Phone: 7136204000

AMY BREEDLOVE GONZALES (NPI# 1780791392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780791392
Entity Type Individual
Full Name AMY BREEDLOVE GONZALES
Credential PA-C
Practice Address 1500 Citywest Blvd Ste 300
Houston
TX 77042
Mailing Address Po Box 840853
Dallas
TX 75284-0853
Practice Telephone 7136204000
Practice Fax Number 7134584229
Mailing Telephone 7136204000
Mailing Fax Number 7134584229
Enumeration Date 2006-08-23
Last Update Date 2018-05-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA00658 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 307772901 05
TX 307772902 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2501 W William Cannon Dr Ste 401, Austin, TX 787455278 5124167246 5122752833

Other Providers AMY GONZALES

NPI Name Taxonomy Address Enumeration
1376189399 Amy Gonzales Counselor 9521 Green Jay, Harlingen, TX 78552-6728 2019-11-25
1013454552 Amy Gonzales Physical Therapist 3229 Avenida De Sueno, Carlsbad, CA 92009-9538 2017-01-23
1457746232 Amy Johnson Gonzales Obstetrics & Gynecology 11212 State Highway 151 Medical Plaza 2, Suite 350, San Antonio, TX 78251 2015-03-30
1881831972 Amy Gonzales Physician Assistant 10 Page Dr, Pinehurst, NC 28374-8848 2009-01-12
1851883870 Amy Gonzales Registered Nurse 3201 Cherry Ridge St Ste D400, San Antonio, TX 78230-4820 2018-06-05
1578974002 Amy Gonzales Family Medicine 13670 Walsingham Rd, Largo, FL 33774-3532 2014-05-19
1669536744 Amy J Gonzales Genetic Counselor, MS 1229 Madison St, Ste 750, Seattle, WA 98104-3586 2006-12-21

Office Location

Street Address 1500 CITYWEST BLVD STE 300
City HOUSTON
State TX
Zip Code 77042

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568465763 Brannon Frank Anesthesiology 1500 Citywest Blvd Ste 300, Houston, TX 77042 2005-05-23
1992310981 Oluwatumininu M Oduntan Anesthesiologist Assistant 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 2020-09-15
1659985919 Adam Conlon Student in an Organized Health Care Education/Training Program 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 2020-09-03
1477164358 Jonathan Bryan Lindstrom Nurse Anesthetist, Certified Registered 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 2020-08-13
1740891043 Ronda Janelle Lightfoot Student in an Organized Health Care Education/Training Program 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 2020-08-11
1083223721 Rumana Hossain Seth Registered Nurse 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 2020-07-29
1033737614 Ammar Qadir Ismail Student in an Organized Health Care Education/Training Program 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 2020-07-09
1619594884 Adriana Corinne Montoya Nurse Anesthetist, Certified Registered 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 2020-07-02
1003432162 Rushi Dilip Brahmbhatt Nurse Anesthetist, Certified Registered 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 2020-06-24
1659996932 Emmanuel Timilehin Okeremgbo Nurse Anesthetist, Certified Registered 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 2020-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942823208 Carlton Petties II Registered Nurse 2424 Willcrest Drive, 110, Houston, TX 77042 2020-05-21
1922566645 Crystal Ann White Registered Nurse 2424 Wildcrest Suite 110, Houston, TX 77042 2019-03-12
1558825158 Egheosemene Ebadan Registered Nurse 2424 Wilcrest Drive, Suite 110, Houston, TX 77042 2019-01-28
1225510670 Adiba Maureen Agbu Registered Nurse 2424 Wilcrest Drive 110, Houston, TX 77042 2018-09-02
1023590460 Ashlyn Nicole Parks Licensed Vocational Nurse 110, 2424 Wilcrest Dr, Houston, TX 77042 2018-09-01
1497250757 Westchase Emergency Center, LLC Emergency Medicine 11103 Westheimer Rd, Houston, TX 77042 2018-03-28
1194225011 Delores Sublett Registered Nurse 9797 Meadowglen 1013, Houston, TX 77042 2018-02-16
1073012068 Brandon C. Cervantes Nurse Anesthetist, Certified Registered 1500 Citywest Blvd. Ste. 300, Houston, TX 77042 2018-02-06
1851805782 Ideal Dental of Westchase Pllc Dentist 2550 Citywest Blvd, Suite 300, Houston, TX 77042 2017-11-30
1851814131 Elizabeth Kaluanya Nurse Practitioner 9850 Meadowglen Ln Apt 142, Houston, TX 77042 2017-07-19
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396345443 Avery Rhodes Schwartz Physician Assistant 2206 Latexo Dr, Houston, TX 77018-1717 2020-10-28
1881291938 Christine Nicole Nott Physician Assistant 13325 Hargrave Rd # 240, Houston, TX 77070-4539 2020-10-01
1306453659 Christine Michelle Serewis - Pond Physician Assistant 950 Threadneedle St # 282, Houston, TX 77079-2925 2020-09-29
1902412828 Chen-ho Yang Physician Assistant 1818 Memorial Dr Ste 200, Houston, TX 77007-8383 2020-09-16
1437769833 Aviva Tziporah Rogozen Physician Assistant 4550 N Braeswood Blvd Apt 331, Houston, TX 77096-2883 2020-07-31
1417575671 Harmeet Kaur Physician Assistant 9601 Jones Rd Ste 238, Houston, TX 77065-4774 2020-07-13
1780201939 Evelyn Oliva Physician Assistant 4943 Brenner St, Houston, TX 77022-2536 2020-07-02
1093330722 Stephanie Kochuparambil Physician Assistant 2630 Bissonnet St Apt 5213, Houston, TX 77005-1571 2020-06-09
1376171587 Samad Syed Ali Physician Assistant 12702 Morning Glory Meadow Ln, Houston, TX 77089-1551 2020-04-01
1235765660 Samantha Salcedo Physician Assistant 6651 Main St Ste 1420, Houston, TX 77030-2351 2020-03-17
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Competitor

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City HOUSTON
Zip Code 77042

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Dataset Information

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.

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