Healthcare Provider Details

I. General information

NPI: 1134594930
Provider Name (Legal Business Name): BELINDA GONZALEZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2015
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2114 HALE AVE STE A
HARLINGEN TX
78550-8408
US

IV. Provider business mailing address

2114 HALE AVE STE A
HARLINGEN TX
78550-8408
US

V. Phone/Fax

Practice location:
  • Phone: 956-365-4106
  • Fax:
Mailing address:
  • Phone: 956-365-4106
  • Fax: 956-365-4126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP129562
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: