Individual
ANNELIESE O. GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6400 FENNIN STREET, SUITE 2900, HOUSTON, TX 77030
(713) 704-3961
(713) 704-4941
Mailing address
6410 FANNIN ST SUITE 830, HOUSTON, TX 77030
(713) 325-7702
(713) 704-4941
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L9212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166693501
—
TX
Enumeration date
06/10/2005
Last updated
01/30/2019
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