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NPI Code Detail

MEDICARE: LIZA JOANN GONZALEZ

MEDICARE: LIZA JOANN GONZALEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist125246TX

General Provider Information

NPI Number : 1225961295
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIZA JOANN GONZALEZ
Provider Business Mailing Address
First Line : 4900 GAGE AVE APT 589
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-1673
Country : US
Telephone Number : 817-719-5621
Fax Number :
Provider Business Practice Location Address
First Line : 2121 MIDWAY RD STE 145
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-5263
Country : US
Telephone Number : 972-851-1022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ LIZA JOANN GONZALEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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