MEDICARE: BRIANA GONZALEZ

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
1	163WP0200X	Pediatric Registered Nurse	971635	TX
2	363LF0000X	Family Nurse Practitioner	1154423	TX

General Provider Information

NPI Number	:	1750058608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANA GONZALEZ

Provider Business Mailing Address
First Line	:	2820 MICHAELANGELO DR
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-1402
Country	:	US
Telephone Number	:	956-558-6400
Fax Number	:

Provider Business Practice Location Address
First Line	:	2820 MICHAELANGELO DR
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-1402
Country	:	US
Telephone Number	:	956-558-6400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2021
Last Update Date	:	05/31/2025

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Directions to “ BRIANA GONZALEZ ” Practice Location

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