Gonzalez, Anneliese O.
Gonzalez, Anneliese O. is an individual health care provider with primary practice located at 6400 Fennin Street Suite 2900, Houston TX 77030. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gonzalez, Anneliese O. can be contacted via phone (713) 704-3961.Contact Information
Primary practice address
6400 Fennin Street Suite 2900
Houston TX 77030
Phone: (713) 704-3961
Fax: (713) 704-4941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | L9212 | Texas |
Profile Details
| NPI number | 1245234889 |
|---|---|
| LBN Legal business name | Gonzalez, Anneliese O. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Jan 30th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245234889 | NPPES |
| Texas | MEDICAID | 166693501 |
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