ANGIE T GONZALES


Address: 3910 Gaston Ave, Dallas, TX 75246-1511
Phone: 2148272021

ANGIE T GONZALES (NPI# 1457598427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457598427
Entity Type Individual
Full Name ANGIE T GONZALES
Credential CPO
Practice Address 3910 Gaston Ave
Dallas
TX 75246-1511
Practice Telephone 2148272021
Practice Fax Number 2148235462
Mailing Telephone 2148272021
Mailing Fax Number 2148235462
Enumeration Date 2009-01-13
Last Update Date 2009-01-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 222Z00000X Orthotist LPO 1271 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 224P00000X Prosthetist LPO 1271 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 3910 GASTON AVE
City DALLAS
State TX
Zip Code 75246-1511

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396201356 Roseann Estrada Mendoza Nurse Practitioner 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 2019-02-14
1033683701 Marta Revilla-leon Dentist 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 2019-01-16
1912408170 Liza Johannesson Transplant Surgery Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 2018-02-23
1841710266 Stephanie Chartier-plante Student in an Organized Health Care Education/Training Program 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 2017-06-27
1528505096 Adam Bohnenblust Chiropractor 411 N Washington Ave Ste 2200, Dallas, TX 75246 2017-01-23
1699121327 Magnolia Pain Associates Pllc Pain Medicine 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 2016-05-12
1073969408 Apurva Yeluru Hospitalist 3500 Gaston Ave Ste 550, Dallas, TX 75246 2016-05-04
1134580533 Sp Alf Ops Co, LLC Assisted Living Facility 3922 Simpson Street, Dallas, TX 75246 2016-03-11
1386031185 Lisa Voigt Student in an Organized Health Care Education/Training Program 3501 Junius Street, Dallas, TX 75246 2015-04-20
1891107843 Jessica Shie Internal Medicine Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 2014-05-27
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Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477151678 Emelia A Nwokobia Prosthetist 5218 Urban Crest Rd, Dallas, TX 75227-1530 2020-10-12
1053950303 Billy Gordon Prosthetist 4001 Ross Ave Apt 111, Dallas, TX 75204-5252 2020-01-04
1669029849 Monika J Salon LLC Prosthetist 17610 Midway Rd Ste 122, Dallas, TX 75287-6741 2019-08-21
1275051807 Vermelle Minor Prosthetist 4341 Horizon Pkwy 132, Dallas, TX 75287 2017-09-04
1902033996 Misty Judson Prosthetist 6011 Harry Hines Blvd., Ste #v5.400, Dallas, TX 75390-9091 2009-06-17
1639153950 Catherine Amy Miller Mehary Prosthetist 5496 La Sierra Dr, Dallas, TX 75231-4108 2005-11-30
1578112819 Styles By Angie K, LLC Prosthetist 5402 Arapaho Rd, Dallas, TX 75248-6905 2019-09-10
1598324345 Fabian Soldevilla Prosthetist 6011 Harry Hines Blvd, Dallas, TX 75390-9091 2019-06-06
1447738273 Dara Breanne Spivey Prosthetist 6011 Harry Hines Blvd Ste V2.302, Dallas, TX 75235-5386 2018-08-02
1811498843 Taneisha Volcy Prosthetist 1408 N Riverfront Blvd # 304, Dallas, TX 75207-3912 2018-02-25
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Competitor

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City DALLAS
Zip Code 75246

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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