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MR. EDGARDO MAURICIO GONZALEZ CSA, LSA
NPI 1982058053
Physician Assistant - Surgical in Shenandoah, TX

Active since April 14, 2016
17201 INTERSTATE 45 S, SHENANDOAH, TX 77385(305) 610-0506 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2023, Jan 2, 2020, Apr 3, 2019 and 1 more (4 updates tracked since 2016).

About Mr. Edgardo Mauricio Gonzalez Csa, Lsa NPPES

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

MR. EDGARDO MAURICIO GONZALEZ CSA, LSA (NPI 1982058053) is an individual surgical provider in Shenandoah, Texas and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1982058053
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. EDGARDO MAURICIO GONZALEZCredential: CSA, LSA
Location Address17201 INTERSTATE 45 SShenandoah, TX 77385-3311
Mailing Address34 Cheswood Manor DrThe Woodlands, TX 77382-5380 · (305) 610-0506
Phone(305) 610-0506
Sole ProprietorNo
Enumeration DateApril 14, 2016
Last NPPES UpdateDecember 5, 20234 updates tracked since enumeration
NPPES CertifiedDecember 5, 2023
✔ NPI 1982058053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X · License 16-165 (WI)
17201 INTERSTATE 45 S, Shenandoah, TX 77385
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Other Identifiers 2

OtherSA00743TX · Medical Board Of Texas
Other16-165American Board Of Surgical Assistants

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. SAJEEV SRIDHAR MD
Student in an Organized Health Care Education/Training Program
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Montgomery County (936) 270-2000
MR. ALBERT LEE DEDMON JR. APRN
Nurse Practitioner (Acute Care)
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Montgomery County (936) 270-2006
MONICA JEANNE ARNELL
Hospitalist
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Montgomery County (936) 270-2099
DR. AHMED R ABDELKARIM M.D.
Hospitalist
17201 INTERSTATE 45 S
SHENANDOAH, TX 77385
Montgomery County (936) 270-2099
DR. KEROLLOS SHAKER MD
Emergency Medicine
17201 INTERSTATE 45 S
SHENANDOAH, TX 77385
Montgomery County (936) 270-2000
SHAKER EMERGENCY SPECIALISTS, PLLC
Emergency Medicine (Medical Toxicology)
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Montgomery County (936) 270-2000
KANISHKA V CHELIKANI
Student in an Organized Health Care Education/Training Program
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Montgomery County (936) 290-1321
KESANY BOUPAPANH
Internal Medicine
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Montgomery County (936) 270-2099

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 Edgardo Gonzalez's NPI number?

The NPI number for Edgardo Gonzalez is 1982058053. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Where is Edgardo Gonzalez located?

Edgardo Gonzalez practices at 17201 Interstate 45 S, Shenandoah, TX 77385. The listed phone number is (305) 610-0506.

What is Edgardo Gonzalez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Edgardo Gonzalez was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.