MEDICARE: GONZALES PSYCHIATRIC SERVICES, PA

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	638567	TX

General Provider Information

NPI Number	:	1902117179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GONZALES PSYCHIATRIC SERVICES, PA

Provider Business Mailing Address
First Line	:	7400 BARLITE BLVD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78224-1308
Country	:	US
Telephone Number	:	210-482-9913
Fax Number	:

Provider Business Practice Location Address
First Line	:	4943 ZULEMA AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78237-2445
Country	:	US
Telephone Number	:	210-482-9913
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GEOFFREY MARK GONZALES
Credential	:	PMHNP
Telephone Number	:	210-482-9913

Provider Enumeration Date	:	06/23/2010
Last Update Date	:	06/23/2010

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1649126046 — NELSON GOMEZ TORRES
Practice Location Address:

3819 BROWNING BLF
SAN ANTONIO, TX
78245-2445

Practice Phone: 682-715-3123
Practice Fax:

1700885415 — CLARK DON TERRELL MD
Practice Location Address:

11124 WURZBACH RD , STE 206
SAN ANTONIO, TX
78230-2445

Practice Phone: 210-696-0076
Practice Fax: 210-697-7207

1972695021 — ELIZABETH L. MITCHELL M.D.
Practice Location Address:

11124 WURZBACH RD STE 300
SAN ANTONIO, TX
78230-2445

Practice Phone: 210-694-2438
Practice Fax: 210-694-2439

1811139058 — ELIZABETH L. MITCHELL MD PA
Practice Location Address:

11124 WURZBACH RD STE 300
SAN ANTONIO, TX
78230-2445

Practice Phone: 210-694-2438
Practice Fax: 210-694-2439

1902331002 — KRISTINA ERICA RAMIREZ MPH, RRT, CHESS
Practice Location Address:

6206 PARSLEY HL
SAN ANTONIO, TX
78238-2445

Practice Phone: 210-254-8785
Practice Fax:

Directions to “GONZALES PSYCHIATRIC SERVICES, PA ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.