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

Mario Gabriel Gonzalez, MD

Individual provider Family Medicine Physician · NPI 1669591871

Mario Gabriel Gonzalez, MD is a Family Practice in Fort Worth, Texas. Qualified in 2004, 22 years ago. Accepts Medicare assignment. Licensed in New Mexico and Texas.

Years since qualifying
22
Licensed in
NM, TX
In the registry since
2007
Specialties on file
2
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

855 Montgomery
Fort Worth, TX 76107-2553
Phone: (817) 920-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence P4959 (TX)
Adult Medicine Physician Taxonomy 207QA0505X · Licence MD-2007-0108 (NM)

Record details

NPI number1669591871
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2007
Last updated in NPPESDecember 23, 2014

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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