Mr Edgardo Mauricio Gonzalez, CSA, LSA - Physician Assistant in Shenandoah, TX

Mr Edgardo Mauricio Gonzalez, CSA, LSA is a Physician Assistant - Surgical based in Shenandoah, Texas. Mr Edgardo Mauricio Gonzalez is licensed to practice in * (Not Available) (license number ) and his current practice location is 17201 Interstate 45 S, Shenandoah, Texas. He can be reached at his office (for appointments etc.) via phone at (305) 610-0506.

NPI number for Mr Edgardo Mauricio Gonzalez is 1982058053 and his current mailing address is 34 Cheswood Manor Dr, The Woodlands, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982058053.

Contact Information

Mr Edgardo Mauricio Gonzalez, CSA, LSA
17201 Interstate 45 S,
Shenandoah, TX 77385-3311
(305) 610-0506
Not Available

Map and Direction




Provider's Profile

Full NameMr Edgardo Mauricio Gonzalez
GenderMale
SpecialityPhysician Assistant - Surgical
Location17201 Interstate 45 S, Shenandoah, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1982058053
  • Provider Enumeration Date: 04/14/2016
  • Last Update Date: 12/05/2023

Medical Identifiers

Medical identifiers for Mr Edgardo Mauricio Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982058053NPI-NPPES
SA00743OtherTXMEDICAL BOARD OF TEXAS
16-165OtherAMERICAN BOARD OF SURGICAL ASSISTANTS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical (* (Not Available))Primary
246ZC0007XSpecialist/technologist, Other - Surgical Assistant 16-165 (Wisconsin)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Edgardo Mauricio Gonzalez is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Edgardo Mauricio Gonzalez, CSA, LSA
34 Cheswood Manor Dr,
The Woodlands, TX 77382-5380

Ph: (305) 610-0506
Mr Edgardo Mauricio Gonzalez, CSA, LSA
17201 Interstate 45 S,
Shenandoah, TX 77385-3311

Ph: (305) 610-0506

Reviews and Comments


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