Christopher Wayne Gonzalez, CRNA
Nurse Anesthetist, Certified Registered in Dallas, TX. Individual provider (NPI-1).
NPI number1669049219
StatusActive
Last updated in NPPESAug 13, 2021
Details
- NPI
- 1669049219
- Entity type
- Individual (NPI-1)
- Name
- Christopher Wayne Gonzalez
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2021
- Certification date
- Aug 13, 2021
- Last updated
- Aug 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1044861 | TX | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | 133679 | TX |
Practice location
6606 Lbj Fwy Ste 200Dallas, TX 75240-6524
Phone 972-715-5000 · Fax 972-715-9976
Mailing address
Po Box 840853Dallas, TX 75284-0853
Phone 972-233-1999 · Fax 972-233-3666
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