Individual
ANITA GOTTIPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 E CROCKETT STE B, CLEVELAND, TX 77327
(281) 592-9992
(281) 659-1081
Mailing address
9305 PINECROFT DR, STE 301, SHENANDOAH, TX 77380-3482
(281) 592-9992
(281) 659-1081
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
M0417
TX
2084N0400X
Neurology Physician
Primary
M0417
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173172101
—
TX
Enumeration date
06/25/2006
Last updated
03/26/2021
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