| Uri L. Gonik, Ph.d. & Associates | |
|
1001 E Airline Rd Victoria TX 77901-4031 | |
| (361) 575-5021 | |
| (361) 575-0623 |
| Full Name | Uri L. Gonik, Ph.d. & Associates |
|---|---|
| Speciality | Psychologist |
| Location | 1001 E Airline Rd, Victoria, Texas |
| Authorized Official Name and Position | Uri L Gonik (OWNER) |
| Authorized Official Contact | 3615755021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uri L. Gonik, Ph.d. & Associates 1001 E Airline Rd Victoria TX 77901-4031 Ph: (361) 575-5021 | Uri L. Gonik, Ph.d. & Associates 1001 E Airline Rd Victoria TX 77901-4031 Ph: (361) 575-5021 |
| NPI Number | 1104969435 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 12/30/2020 |
| Certification Date | 12/30/2020 |
| Medicare PECOS PAC ID | 8325194061 |
|---|---|
| Medicare Enrollment ID | O20110810000673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104969435 | NPI | - | NPPES |
| 085330102 | Medicaid | TX | |
| 00T62E | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Uri L Gonik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811081961 PECOS PAC ID: 1254487994 Enrollment ID: I20090921000629 |
| Provider Name | Trudi K Zaplac |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003037441 PECOS PAC ID: 5395736870 Enrollment ID: I20110525000073 |
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