NPI Code Details Logo

NPI 1902784846

NPI 1902784846 : YESSENIA ISABEL GONZALEZ PT, DPT : SAN ANTONIO, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1902784846
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    YESSENIA ISABEL GONZALEZ PT, DPT
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/26/2025
-----------------------------------------------------
    Last Update Date     |    08/26/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4600 LOCKHILL SELMA RD STE 101 
-----------------------------------------------------
    City                 |    SAN ANTONIO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78249-2186
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    210-408-7303
-----------------------------------------------------
    Fax                  |    210-408-7303
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4119 WAIKIKI DR 
-----------------------------------------------------
    City                 |    SAN ANTONIO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78218-3433
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    210-849-3097
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    1407349
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.