Healthcare Provider Details

I. General information

NPI: 1922963677
Provider Name (Legal Business Name): MAIGRE E GALLO GONZALEZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7323 CRAGMONT BRIDGE DR
CYPRESS TX
77433-1720
US

IV. Provider business mailing address

7323 CRAGMONT BRIDGE DR
CYPRESS TX
77433-1720
US

V. Phone/Fax

Practice location:
  • Phone: 346-279-7299
  • Fax:
Mailing address:
  • Phone: 346-279-7299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1135131
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: