Healthcare Provider Details

I. General information

NPI: 1912801630
Provider Name (Legal Business Name): PEDRO GONZALEZ PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7525 COUNTY ROAD 1232
GODLEY TX
76044-3912
US

IV. Provider business mailing address

110 INNER CAMPUS DR
AUSTIN TX
78712-1139
US

V. Phone/Fax

Practice location:
  • Phone: 682-970-4423
  • Fax:
Mailing address:
  • Phone: 512-471-3434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: