Provider Demographics
NPI:1336982446
Name:GONNAR SERVICES LLC
Entity type:Organization
Organization Name:GONNAR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YARISLENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:832-289-5142
Mailing Address - Street 1:19918 PARK ROW DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-4915
Mailing Address - Country:US
Mailing Address - Phone:281-944-9609
Mailing Address - Fax:281-944-9610
Practice Address - Street 1:19918 PARK ROW DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-4915
Practice Address - Country:US
Practice Address - Phone:281-944-9609
Practice Address - Fax:281-944-9610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty