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
Fax: (713) 704-4941
Website:

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245234889 NPPES
Texas MEDICAID 166693501

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