Jasmine Nathaly Gonzales, | |
4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | |
(469) 600-5351 | |
Not Available |
Full Name | Jasmine Nathaly Gonzales |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4215 Joe Ramsey Blvd E, Greenville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386356590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163W00000X | Registered Nurse | 916317 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 1136380 (Texas) | Primary |
Entity Name | Northstar Anesthesia Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
Entity Name | Northstar Anesthesia Ii Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477066405 PECOS PAC ID: 2365701737 Enrollment ID: O20180110000102 |
Mailing Address | Practice Location Address |
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Jasmine Nathaly Gonzales, 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 Ph: (214) 687-0001 | Jasmine Nathaly Gonzales, 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 Ph: (469) 600-5351 |
Brynn Marie Steward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4215 Joe Ramsey Blvd E, Greenville, TX 75401 Phone: 903-408-5000 | |
Mr. Joel Schop, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4215 Joe Ramsey Blvd E, Greenville, TX 75401 Phone: 903-408-1218 |