Individual ProviderLynette GonzalezPediatricsAllopathic & Osteopathic PhysiciansPractice Address1935 Medical District Dr, Dallas, TX 75235-7701(551) 821-4456(956) 422-4135PECOS EnrollmentBased on the most recent information from CMS, provider Lynette Gonzalez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:53 AM.Profile DetailsProvider ID1356081384Provider TypeIndividualFull NameGonzalez, LynetteGenderFemaleSole ProprietorNoEnumeration Date3/29/2022Last Updated6/30/2025Contact InformationPractice LocationPractice Address1935 Medical District Dr, Dallas, TX 75235-7701Phone(551) 821-4456FaxUnlisted FaxMailing LocationMailing Address76 Albeza Ave, Rio Grande City, TX 78582-5765Phone(956) 422-4135FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseV6588TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer