Provider Demographics
NPI:1942195284
Name:GONZALEZ PRIMARY CARE LLC
Entity type:Organization
Organization Name:GONZALEZ PRIMARY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:YUNIER
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:281-941-5342
Mailing Address - Street 1:11001 W FAIRMONT PKWY STE C
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:TX
Mailing Address - Zip Code:77571-6011
Mailing Address - Country:US
Mailing Address - Phone:281-941-5342
Mailing Address - Fax:281-941-5382
Practice Address - Street 1:11001 W FAIRMONT PKWY STE C
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:TX
Practice Address - Zip Code:77571-6011
Practice Address - Country:US
Practice Address - Phone:281-941-5342
Practice Address - Fax:281-941-5382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty