Edmond T Gonzales, MD | |
6701 Fannin St, Houston, TX 77030-2316 | |
(832) 822-3160 | |
(832) 825-3159 |
Full Name | Edmond T Gonzales |
---|---|
Gender | Male |
Speciality | Urology - Pediatric Urology |
Location | 6701 Fannin St, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568546521 | NPI | - | NPPES |
136179204 | Medicaid | TX | |
P0K069522 | Other | TX | CSHCN |
136179206 | Other | TX | CSHCN |
136179205 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2088P0231X | Urology - Pediatric Urology | E3181 (Texas) | Primary |
Entity Name | Texas Childrens Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209 |
Mailing Address | Practice Location Address |
---|---|
Edmond T Gonzales, MD 2 Greenway Plz, Suite 900, Houston, TX 77046-0297 Ph: (713) 798-1750 | Edmond T Gonzales, MD 6701 Fannin St, Houston, TX 77030-2316 Ph: (832) 822-3160 |
Guilherme Godoy, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 6620 Main St, Suite 1325, Ms Bcm380, Houston, TX 77030 Phone: 713-798-5628 Fax: 713-798-5553 | |
Kelly Bree, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161 | |
Prof. Peter Phuc Hinh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1200 Binz St Ste 690, Houston, TX 77004 Phone: 713-366-7831 Fax: 713-482-5815 | |
Dr. Herbert L Watkins, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1140 Westmont Dr Ste 425, Houston, TX 77015 Phone: 713-453-4395 Fax: 713-453-4397 | |
Dr. Kumaran Sathyamoorthy, MD, MPH Urology Medicare: Accepting Medicare Assignments Practice Location: 10425 Huffmeister Rd Ste 210, Houston, TX 77065 Phone: 281-890-0911 Fax: 281-890-0980 | |
Kevin G Nickell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 7777 Southwest Fwy, # 1032, Houston, TX 77074 Phone: 713-351-0644 Fax: 713-351-0633 | |
Richard J. Babaian, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161 |