Individual
JOHN A ANSIAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 824-1000
Mailing address
6701 FANNIN ST STE 610.31, HOUSTON, TX 77030-2609
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA12595
TX
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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