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CHRISTIAN GONZALES GAVANCHO
NPI 1215810908
Student in an Organized Health Care Education/Training Program in Bedford, TX

Active since July 29, 2025
1600 HOSPITAL PKWY, BEDFORD, TX 76022(817) 848-4000 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Christian Gonzales Gavancho NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTIAN GONZALES GAVANCHO (NPI 1215810908) is an individual student in an organized health care education/training program in Bedford, Texas, licensed in Texas (BP10093036) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1215810908
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHRISTIAN GONZALES GAVANCHO
Location Address1600 HOSPITAL PKWYBedford, TX 76022-6913
Mailing Address1402 N Valley Pkwy Apt 608Lewisville, TX 75077-2911 · (945) 382-5609
Phone(817) 848-4000
Sole ProprietorNo
Enumeration DateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
✔ NPI 1215810908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TX · BP10093036
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1600 HOSPITAL PKWY, Bedford, TX 76022
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STACEY LANELL SMITH M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1600 HOSPITAL PKWY
BEDFORD, TX 76022
Tarrant County (817) 848-4040
MRS. MIHAIELA ILVES CSFA, CST
Specialist/Technologist, Other (Surgical Technologist)
1600 HOSPITAL PKWY
BEDFORD, TX 76022
Tarrant County (817) 848-4000
GUILLERMO ALFONSO MARQUEZ NAJERA MD
Student in an Organized Health Care Education/Training Program
1600 HOSPITAL PKWY
BEDFORD, TX 76022
Tarrant County (817) 848-4000
HIRA MOHAMMED
Student in an Organized Health Care Education/Training Program
1600 HOSPITAL PKWY
BEDFORD, TX 76022
Tarrant County (817) 848-2993
DR. KENDAL PHILLIP WILSON KENDAL WILSON M.D.
Physical Medicine & Rehabilitation
1600 HOSPITAL PKWY
BEDFORD, TX 76022
Tarrant County (817) 685-4920
MEHUL P PATEL MD
Internal Medicine
1600 HOSPITAL PKWY
BEDFORD, TX 76022
Tarrant County (817) 848-2708
RODRIGO MASSATO NOBETANI MD
Student in an Organized Health Care Education/Training Program
1600 HOSPITAL PKWY
BEDFORD, TX 76022
Tarrant County (817) 848-5654
DR. MERYUM IJAZI PHARMD
Pharmacist
1600 HOSPITAL PKWY
BEDFORD, TX 76022
Tarrant County (817) 848-4070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christian Gonzales Gavancho's NPI number?

The NPI number for Christian Gonzales Gavancho is 1215810908. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Where is Christian Gonzales Gavancho located?

Christian Gonzales Gavancho practices at 1600 Hospital Pkwy, Bedford, TX 76022. The listed phone number is (817) 848-4000.

What is Christian Gonzales Gavancho's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Christian Gonzales Gavancho was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.