| Diana C Gonzalez, | |
|
250 Bailey Ranch Rd Ste 300, Aledo, TX 76008-3237 | |
| (682) 593-3237 | |
| Not Available |
| Full Name | Diana C Gonzalez |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 250 Bailey Ranch Rd Ste 300, Aledo, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437411238 | NPI | - | NPPES |
| 0031DG | Other | TX | BLUE CROSS BLUE SHIELD |
| 0944746-02 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3111710 (Texas) | Secondary |
| 225100000X | Physical Therapist | 1219777 (Texas) | Primary |
| Provider Name | Ideal Physical Therapy Of Texas Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890 |
| Provider Name | Texas Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1790309656 PECOS PAC ID: 0648692723 Enrollment ID: O20200618000076 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana C Gonzalez, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (866) 370-8206 | Diana C Gonzalez, 250 Bailey Ranch Rd Ste 300, Aledo, TX 76008-3237 Ph: (682) 593-3237 |
Katelynn Teufel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 N Fm 1187 Ste 500, Aledo, TX 76008 Phone: 817-615-9214 | |
Jennifer Ashley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 Welch Folly Ln, Aledo, TX 76008 Phone: 817-832-0072 | |
Liberty Electrodiagnostics Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 217 Honey Brook Ln, Aledo, TX 76008 Phone: 940-782-3158 | |
Rebecca Moreno, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Larson Ln, Aledo, TX 76008 Phone: 817-431-9000 | |
Physiologic, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 709 N Fm 1187, Aledo, TX 76008 Phone: 817-366-5754 | |
Ms. Lindsay M Graf, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14844 Blakely Way, Aledo, TX 76008 Phone: 215-272-4013 |