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NPI Code Detail

MEDICARE: PAMELA GONZALES

MEDICARE: PAMELA GONZALES
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
1106S00000XBehavior Technician22236576TX

General Provider Information

NPI Number : 1104515683
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA GONZALES
Provider Business Mailing Address
First Line : 1313 W PARKWOOD AVE STE 101
Second Line :
City : FRIENDSWOOD
State : TX
Zip : 77546-5701
Country : US
Telephone Number : 281-947-8925
Fax Number : 281-310-8803
Provider Business Practice Location Address
First Line : 1313 W PARKWOOD AVE STE 101
Second Line :
City : FRIENDSWOOD
State : TX
Zip : 77546-5701
Country : US
Telephone Number : 281-947-8925
Fax Number : 281-310-8803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2023
Last Update Date : 05/02/2023

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Directions to “ PAMELA GONZALES ” 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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