JACQUELINE GONZALEZ NPI 1053980953

NPI Information

  • NPI: 1053980953
  • Provider Name: JACQUELINE GONZALEZ
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3721 WILLIAMS DR
    GEORGETOWN, TX
    ZIP 78628
  • Phone: (512) 869-7310

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NPI Details

Jacqueline Gonzalez is a surgical physician assistant in Georgetown, TX. Jacqueline Gonzalez NPI is 1053980953. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3721 WILLIAMS DR
GEORGETOWN, TX
ZIP 78628-401
Phone: (512) 869-7310

The NPI 1053980953 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2021 and was last updated on 9/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPATEMPTEXASNo
2363AS0400XPhysician AssistantSurgicalTEMPORARYTEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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