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NPI Code Detail

MEDICARE: GONZALES HEALTHCARE SYSTEMS

MEDICARE: GONZALES HEALTHCARE SYSTEMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician000130TX
2208000000XPediatrics Physician000103TX
3261QR1300XRural Health Clinic/CenterTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013916287
Entity Type Code : Organization
Provider Name (Legal Business Name) : GONZALES HEALTHCARE SYSTEMS
Provider Business Mailing Address
First Line : PO BOX 587
Second Line :
City : GONZALES
State : TX
Zip : 78629-0587
Country : US
Telephone Number : 830-672-7581
Fax Number : 830-672-2401
Provider Business Practice Location Address
First Line : 1110 N SARAH DEWITT DR
Second Line :
City : GONZALES
State : TX
Zip : 78629-3311
Country : US
Telephone Number : 830-672-7581
Fax Number : 830-672-2401
Authorized Official
Title or Position : CEO ADMINISTRATOR
Name : MR. BRANDON ANZALDUA
Credential :
Telephone Number : 830-672-7581
Provider Enumeration Date : 07/19/2005
Last Update Date : 07/23/2025

Similar Medicare Providers

1326225822 — DR. CHRISTOPHER LEE WALKER M.D.
Practice Location Address:
1110 N SARAH DEWITT DR
GONZALES, TX
78629-3311
Practice Phone: 830-672-8502
Practice Fax:
1225415359 — DR. SEAN HATTENBACH M.D.
Practice Location Address:
1110 N SARAH DEWITT DR
GONZALES, TX
78629-3311
Practice Phone: 830-672-8502
Practice Fax: 830-541-5557
1376547919 — DR. HUMBERTO RIVAS M.D.
Practice Location Address:
1110 N SARAH DEWITT DR
GONZALES, TX
78629-3311
Practice Phone: 830-672-8473
Practice Fax: 830-672-3035
1942967500 — CELINA D MCCOWN NP
Practice Location Address:
1110 N SARAH DEWITT DR
GONZALES, TX
78629-3311
Practice Phone: 830-672-8502
Practice Fax: 830-672-3035
1932108214 — GONZALES HEALTHCARE SYSTEMS
Practice Location Address:
1110 N SARAH DEWITT DR
GONZALES, TX
78629-3311
Practice Phone: 830-672-7581
Practice Fax: 830-672-2401
1285636647 — DR. GARTH O VAZ M.D.
Practice Location Address:
1103 N SARAH DEWITT DR , 1103 N. SAHAH DEWITT DRIVE
GONZALES, TX
78629-3311
Practice Phone: 830-672-2424
Practice Fax: 866-622-2180

Directions to “GONZALES HEALTHCARE SYSTEMS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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