| Gonzales Healthcare Systems | |
|
1818 E Us Hwy 90 Waelder TX 78959 | |
| (830) 672-7581 | |
| (830) 672-2401 |
| Full Name | Gonzales Healthcare Systems |
|---|---|
| Speciality | Clinic/Center |
| Location | 1818 E Us Hwy 90, Waelder, Texas |
| Authorized Official Name and Position | Brandon Anzaldua (CEO ADMINISTRATOR) |
| Authorized Official Contact | 8306727581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gonzales Healthcare Systems Po Box 587 Gonzales TX 78629-0587 Ph: (830) 672-7581 | Gonzales Healthcare Systems 1818 E Us Hwy 90 Waelder TX 78959 Ph: (830) 672-7581 |
| NPI Number | 1811999337 |
|---|---|
| Provider Enumeration Date | 08/15/2005 |
| Last Update Date | 02/26/2024 |
| Medicare PECOS PAC ID | 8527963776 |
|---|---|
| Medicare Enrollment ID | O20041004001113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811999337 | NPI | - | NPPES |
| 091887201 | Medicaid | TX | |
| 091887202 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 000103 (Texas) | Secondary |
| 208000000X | Pediatrics | 000103 (Texas) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Texas) | Primary |