Provider Demographics
NPI:1336935840
Name:SAME GONZALEZ, ARLET (PA)
Entity type:Individual
Prefix:
First Name:ARLET
Middle Name:
Last Name:SAME GONZALEZ
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 W BAKER RD APT 1311
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-2435
Mailing Address - Country:US
Mailing Address - Phone:832-739-0406
Mailing Address - Fax:
Practice Address - Street 1:2800 W BAKER RD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2433
Practice Address - Country:US
Practice Address - Phone:832-739-0406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2562-P.A.363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant