Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lacy Nicole Gonzalez, PA-C

Individual provider Dermatology Physician · NPI 1841628443

Lacy Nicole Gonzalez, PA-C is a Physician Assistant in Houston, Texas. Qualified in 2012, 14 years ago. Practices with Clear Dermatology PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
14
Licensed in
TX
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

17756 Katy Fwy Ste G1
Houston, TX 77094-1380
Phone: (832) 772-3330
Fax: (832) 772-3332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (TX)
Dermatology Physician Taxonomy 207N00000X · Licence PA09848 (TX)

Record details

NPI number1841628443
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 17, 2013
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 6, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Clear Dermatology Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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