Individual
ANNA M GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 VISION PARK BLVD, STE 150, SHENANDOAH, TX 77384-3002
(936) 321-0033
(936) 321-0032
Mailing address
PO BOX 130894, THE WOODLANDS, TX 77393-0894
(936) 321-0033
(936) 321-0032
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
L3977
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158075501
—
TX
05
—
158075502
—
TX
01
—
1664695
CIGNA
TX
01
—
191459
AMERICAID
TX
01
—
2986654
AETNA
TX
01
—
7046365
AETNA
TX
01
—
84442Y
BLUE CROSS
TX
Enumeration date
07/28/2005
Last updated
05/20/2008
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