MEDICARE: RENE 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	363LA2200X	Adult Health Nurse Practitioner	1017011	TX

General Provider Information

NPI Number	:	1821546847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENE GONZALEZ

Provider Business Mailing Address
First Line	:	4008 SHERWOOD LN APT 44
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-7863
Country	:	US
Telephone Number	:	361-250-0452
Fax Number	:

Provider Business Practice Location Address
First Line	:	4008 SHERWOOD LN APT 44
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-7863
Country	:	US
Telephone Number	:	361-250-0452
Fax Number	:

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

Provider Enumeration Date	:	09/19/2016
Last Update Date	:	12/10/2025

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Directions to “ RENE GONZALEZ ” Practice Location

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