Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gonzalo Lievano, MD

Individual provider Urology Physician · NPI 1558302976

Dr. Gonzalo Lievano, MD is an Urology in Fort Worth, Texas. Qualified in 1988, 38 years ago. Practices with Dallas Medical Specialists, PLLC, a 85-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
38
Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1307 8th Ave Ste 306
Fort Worth, TX 76104
Phone: (817) 912-8040
Fax: (817) 912-8049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence L5024 (TX)

Record details

NPI number1558302976
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESJuly 12, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Dallas Medical Specialists, Pllc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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