Individual
ANNA S GORITSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
(325) 481-2104
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 481-2104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-090659
IL
207R00000X
Internal Medicine Physician
Primary
N5080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219780801
—
TX
05
—
219780802
—
TX
Enumeration date
05/10/2006
Last updated
06/30/2015
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