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

Mario Garcia Gonzalez, PA

Individual provider Physician Assistant · NPI 1063933968

Mario Garcia Gonzalez, PA is a Physician Assistant in Fort Worth, Texas. Qualified in 2017, 9 years ago. Practices with Acclaim Physician Group Inc, a 523-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2017
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

601 W Terrell Ave
Fort Worth, TX 76104-3243
Phone: (817) 702-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7400 McCart Ave, Fort Worth, TX 76133-7270 — (817) 294-1651

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA11319 (TX)

Record details

NPI number1063933968
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 29, 2017
Last updated in NPPESFebruary 25, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Acclaim Physician Group Inc — 523 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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