Gonzalo Lievano (NPI# 1558302976, PAC ID# 0749212892) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1558302976 |
| PAC ID by PECOS | 0749212892 |
| Professional Enrollment ID | I20050909000077 |
| Full Name | Gonzalo Lievano |
| Organization Legal Name | HEALTHTEXAS PROVIDER NETWORK |
| Address |
821 N Coleman St Suite 100 Prosper TX 75078-2339 |
| Phone Number | 4698005200 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1988 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 1355254210 |
| Number of Group Practice Members | 1318 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450137 | BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER FORT WORTH |
| 450451 | GLEN ROSE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5408 Colleyville Blvd, Colleyville, TX 76034-5833 | 8174989920 | HEALTHTEXAS PROVIDER NETWORK |
| 4001 Worth St, Dallas, TX 75246-1608 | HEALTHTEXAS PROVIDER NETWORK | |
| 1307 8th Ave, Suite 306, Fort Worth, TX 76104-4140 | 8179128040 | HEALTHTEXAS PROVIDER NETWORK |
| 1400 8th Ave, Fort Worth, TX 76104-4110 | HEALTHTEXAS PROVIDER NETWORK | |
| 821 N Coleman St, Suite 100, Prosper, TX 75078-2339 | 4698005200 | HEALTHTEXAS PROVIDER NETWORK |
| 2035 Fort Worth Hwy, Suite 100, Weatherford, TX 76086-4783 | 8175940496 | HEALTHTEXAS PROVIDER NETWORK |
| Organization Legal Name | HEALTHTEXAS PROVIDER NETWORK |
| Physicians | 1392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen T Mathew | Orthopedic Surgery | Healthtexas Provider Network | 2460 N Ih 35 E, 225 Baylor Scott and White Orthopedic Specialists, Waxahachie, TX 75165-5273 |
| Patrick D Sims | Physical Medicine and Rehabilitation | Healthtexas Provider Network | 6601 Harris Pkwy, Fort Worth, TX 76132-6108 |
| Nadia Karyn Rajack | Hospice/palliative Care | Healthtexas Provider Network | 3410 Worth St, 820 Baylor Scott White, Dallas, TX 75246-2003 |
| Enayetullah Neak | Family Medicine | Healthtexas Provider Network | 2740 N State Hwy 360, Suite 100, Grand Prairie, TX 75050-6409 |
| Jessica L Hainsfurther | Family Medicine | Healthtexas Provider Network | 5800 E Lovers Ln, Dallas, TX 75206-2901 |
| Kathryn R Taylor | Nurse Practitioner | Healthtexas Provider Network | 6701 Heritage Pkwy, Suite 130, Rockwall, TX 75087-8799 |
| Rachel L Pigeon | Nurse Practitioner | Healthtexas Provider Network | 1250 8th Ave, Suite 200, Fort Worth, TX 76104-4158 |
| Hollyann D Bennett | Nurse Practitioner | Healthtexas Provider Network | 511 W Fm 544, 204 Baylor Scott and White Premier Orthop, Murphy, TX 75094-4628 |
| Caroline K Kesterson | Nurse Practitioner | Healthtexas Provider Network | 4708 Alliance Blvd, Suite 550, Plano, TX 75093-5363 |
| Neil A Mauskar | Plastic and Reconstructive Surgery | Healthtexas Provider Network | 3409 Worth St, 600 Baylor Scott and White Plastic and Recons Surg Dall, Dallas, TX 75246-2042 |
| Street Address |
821 N COLEMAN ST SUITE 100 |
| City | PROSPER |
| State | TX |
| Zip | 75078-2339 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean A Townsend | Internal Medicine | Healthtexas Provider Network | 821 N Coleman St, Suite 100, Prosper, TX 75078-2339 |
| Barbara P Lucente | Clinical Social Worker | Healthtexas Provider Network | 821 N Coleman St, Suite 100, Prosper, TX 75078-2339 |
| Raul A Santos | Cardiovascular Disease (cardiology) | Healthtexas Provider Network | 821 N Coleman St, Suite 100, Prosper, TX 75078-2339 |
| Watson Payne Roye Jr. | General Surgery | Healthtexas Provider Network | 821 N Coleman St, Suite 100, Prosper, TX 75078-2339 |
| Emma L Davis | Nurse Practitioner | Healthtexas Provider Network | 821 N Coleman St, Suite 100, Prosper, TX 75078-2339 |
| Jason R Nordstrom | Internal Medicine | Healthtexas Provider Network | 821 N Coleman St, Suite 100, Prosper, TX 75078-2339 |
| Anthony G Webb | Internal Medicine | Healthtexas Provider Network | 821 N Coleman St, Suite 100, Prosper, TX 75078-2339 |
| Sana Budhani | Internal Medicine | Healthtexas Provider Network | 821 N Coleman St, Suite 100, Prosper, TX 75078-2339 |
| Sarah T Breitkreutz | Nurse Practitioner | Healthtexas Provider Network | 821 N Coleman St, Suite 100, Prosper, TX 75078-2339 |
| Charlotte D Moss | Physician Assistant | Healthtexas Provider Network | 821 N Coleman St, Suite 100, Prosper, TX 75078-2339 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin M Duckworth | Physical Therapy | Vista Rehab Partners Lp | 821 N Coleman St, Suite 160, Prosper, TX 75078-2306 |
| Joseph Gizzi | Physical Therapy | Vista Rehab Partners Lp | 821 N Coleman St, Suite 160, Prosper, TX 75078-2306 |
| Sydney M Williard | Physical Therapy | Vista Rehab Partners Lp | 821 N Coleman St, Suite 160, Prosper, TX 75078-2306 |
| Jeremy D Evans | Chiropractic | Nobility Medical Pllc | 1061 N Coleman St, Suite 10, Prosper, TX 75078-2317 |
| Jacob Glenn Schumann | Chiropractic | 1061 N Coleman St, Suite 130, Prosper, TX 75078-2317 | |
| Kyle Lyndon Boatman | Nurse Practitioner | Nobility Medical Pllc | 1061 N Coleman St, Suite 10, Prosper, TX 75078-2317 |
| Tamanh D Nguyen | Optometry | Socialeyes Eyecare, Pllc | 1061 N Coleman St, Suite 120, Prosper, TX 75078-2321 |
| Praveen K Rao | Cardiac Electrophysiology | Healthtexas Provider Network | 821 N Coleman St, Suite 100, Prosper, TX 75078-2339 |
| Stefanie Marie Alvarado | Physician Assistant | Healthtexas Provider Network | 821 N Coleman St, Suite 100, Prosper, TX 75078-2339 |
| Jenaya J Ward | Obstetrics/gynecology | Healthtexas Provider Network | 821 N Coleman St, Suite 100, Prosper, TX 75078-2339 |
| Find all physicians in zip 75078 | |||
| City | PROSPER |
| Zip Code | 75078 |
| Specialty | UROLOGY |
| City + Specialty | PROSPER + UROLOGY |
Please comment or provide details below to improve the information on Gonzalo Lievano.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.