Individual
MRS. ANISA M GODINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 HESTERS CROSSING RD, ROUND ROCK, TX 78681-8025
(512) 244-4400
(512) 244-4752
Mailing address
PO BOX 678342, DALLAS, TX 75267-8342
(512) 244-4400
(512) 244-4752
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
J4821
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089777902
—
TX
Enumeration date
03/28/2006
Last updated
11/01/2014
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