=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215845177
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HORMONE HARMONY & WELLNESS CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/31/2026
-----------------------------------------------------
Last Update Date | 08/31/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 102 1ST AVE STE B
-----------------------------------------------------
City | ZAPATA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78076-4282
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-763-8228
-----------------------------------------------------
Fax | 800-842-0449
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 102 1ST AVE STE B
-----------------------------------------------------
City | ZAPATA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78076-4282
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-763-8228
-----------------------------------------------------
Fax | 800-842-0449
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FAMILY NURSE PRACTITIONER/OWNER
-----------------------------------------------------
Name | ABIGAIL GONZALEZ
-----------------------------------------------------
Credential | FNP-BC
-----------------------------------------------------
Telephone | 956-763-8228
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM2500X
-----------------------------------------------------
Taxonomy Name | Medical Specialty Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------