Yaimara Gonzalez Pantoja, FNP
Nurse Practitioner, Family in Houston, TX. Individual provider (NPI-1).
NPI number1679062152
StatusActive
Last updated in NPPESMay 31, 2023
Details
- NPI
- 1679062152
- Entity type
- Individual (NPI-1)
- Name
- Yaimara Gonzalez Pantoja
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 9, 2018
- Certification date
- May 31, 2023
- Last updated
- May 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP137470 | TX | Yes |
Practice location
5901 Bellaire Blvd Ste 104Houston, TX 77081-5515
Phone 832-834-4688 · Fax 832-834-4687
Mailing address
5901 Bellaire Blvd Ste 104Houston, TX 77081-5515
Phone 832-834-4688 · Fax 832-834-4687
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