Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KACIE WALLACE GONZALES
ActiveKACIE WALLACE GONZALES is a Physician Assistant healthcare provider located in BRYAN, Texas. NPI 1649899600 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BRYAN, TX
Registration Details
- NPI Number
- 1649899600
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2020 (6.3308554085791 yrs)
- Last Updated
- Jan 29, 2026
- Licenses
-
3181 (OK)14298 (TX)
Practice Information
- Address
-
2215 E VILLA MARIA RD STE 110BRYAN, TX, 778022585Browse TX providers · Browse ZIP 77802
- Phone
- 9797762000
- Fax
- 8667332572
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in BRYAN, TX
| Name | Credential | NPI |
|---|---|---|
| LORRAINE WASHBURN | PA-C | 1659325272 |
| MS. AMBER ANISE MICK | P.A | 1700971074 |
| JENNIFER D RIGGENS | PA-C | 1992824775 |
| RICHARD LAWRENCE DELEZENE | PA-C | 1982724134 |
| MISS ELLEN ELIZABETH SUGAREK | PA-C | 1831372259 |
| JILL MICHELLE WHITLEY | PA-C | 1003072174 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.