Provider Demographics
NPI:1003388406
Name:ALEMAN, GUSTAVO ALCANTAR JR (PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:GUSTAVO
Middle Name:ALCANTAR
Last Name:ALEMAN
Suffix:JR
Gender:M
Credentials:PMHNP-BC
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Mailing Address - Street 1:3805 BUFFALO ST
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:TX
Mailing Address - Zip Code:76384-3224
Mailing Address - Country:US
Mailing Address - Phone:214-632-7574
Mailing Address - Fax:940-304-8197
Practice Address - Street 1:4103 WILBARGER ST
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:TX
Practice Address - Zip Code:76384-3137
Practice Address - Country:US
Practice Address - Phone:940-655-8291
Practice Address - Fax:940-304-8197
Is Sole Proprietor?:No
Enumeration Date:2018-12-23
Last Update Date:2025-04-08
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Provider Licenses
StateLicense IDTaxonomies
TXAP139970363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health