PETER CHAN WONG GONZALES


Address: 3204 N Macarthur Blvd, Suite B, Irving, TX 75062-4453
Phone: 9728705500

PETER CHAN WONG GONZALES (NPI# 1598719247) 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) 1598719247
Entity Type Individual
Full Name PETER CHAN WONG GONZALES
Credential M.D.
Practice Address 3204 N Macarthur Blvd
Suite B
Irving
TX 75062-4453
Mailing Address Po Box 167457
Irving
TX 75016-7457
Practice Telephone 9728705500
Practice Fax Number 9728705504
Mailing Telephone 9728705500
Enumeration Date 2006-05-19
Last Update Date 2007-07-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
H7681 TX Allopathic & Osteopathic Physicians
N 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
H7681 TX Allopathic & Osteopathic Physicians
N 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
H7681 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX BLUE CROSS BLUE SHIELD 0053BF 01

Other Providers PETER GONZALES

NPI Name Taxonomy Address Enumeration
1366577363 Peter W Gonzales Psychiatry & Neurology 605 E Blue Bell Rd, Brenham, TX 77833-2411 2007-02-22

Office Location

Street Address 3204 N MACARTHUR BLVD
SUITE B
City IRVING
State TX
Zip Code 75062-4453

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558313643 Peter C. W. Gonzales, M.d., P.a. Psychiatry & Neurology 3204 N Macarthur Blvd, Suite B, Irving, TX 75062-4453 2006-05-17
1124520580 Margaret Esquivel Social Worker 3204 N Macarthur Blvd, Irving, TX 75062 2018-03-01
1902207335 Patricia Grace Dango-capati Dba Superior Care Clinic Family Medicine 3204 N Macarthur Blvd, Building A, Irving, TX 75062-4453 2014-09-04

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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174986319 Neuroscience and Headache Center of North Texas, Pllc Psychiatry & Neurology 9607 Valley Lake Ln, Irving, TX 75063-5014 2016-04-04
1003923103 Michael M Candaras Psychiatry & Neurology 12655 Seneca Rd, Irving, NY 14081 2006-08-24
1023077567 Henry G. Raroque Jr. Psychiatry & Neurology 1215 Kinwest Pkwy, Ste 120, Irving, TX 75063 2006-03-22
1003262205 Revolution Monitoring, LLC Psychiatry & Neurology 5005 W Royal Ln, Suite196, Irving, TX 75063-1996 2016-05-06
1538515630 Revolution Neuromonitoring, LLC Psychiatry & Neurology 5005 W Royal Ln, Suite 196, Irving, TX 75063-1996 2016-05-06
1477870954 Neurocenter Texas Pa Psychiatry & Neurology 7701 Las Colinas Rdg Ste 260, Irving, TX 75063-7554 2010-04-23
1114159878 Novreen Shahdad Psychiatry & Neurology 2021 N Macarthur Blvd, Irving, TX 75061-2219 2009-08-13
1467581587 Deborah T Combs Cantrell, M.d., P.a. Psychiatry & Neurology 7301 State Highway 161, Ste 160, Irving, TX 75039-2816 2007-03-05
1215066303 North Texas Neuroscience Center, P.a. Psychiatry & Neurology 7301 State Highway 161, Ste 160, Irving, TX 75039-2816 2007-03-05
1356470454 Sunil Mathews, M.d., P.a. Psychiatry & Neurology 440 W Lyndon B Johnson Fwy, Plaza II, Suite 225, Irving, TX 75063-3707 2007-03-05
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City IRVING
Zip Code 75062

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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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