Healthcare Provider Details

I. General information

NPI: 1437838893
Provider Name (Legal Business Name): ALEJANDRO GONZALEZ PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2023
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 EAST HWY 83 STE 4
LA JOYA TX
78560
US

IV. Provider business mailing address

1965 S 32ND ST
MCALLEN TX
78503-8372
US

V. Phone/Fax

Practice location:
  • Phone: 956-585-1688
  • Fax:
Mailing address:
  • Phone: 956-225-6362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA16901
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: