Individual
DR. DANIELLE D. ANTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6550 FANNIN ST STE 2221, HOUSTON, TX 77030-2761
(713) 441-5800
(713) 791-5023
Mailing address
6560 FANNIN ST STE 2221, HOUSTON, TX 77030-2761
(713) 441-5800
(713) 791-5023
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D0069803
MD
207V00000X
Obstetrics & Gynecology Physician
MD038023
DC
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
P1516
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311135301
—
TX
01
—
8FT386
BLUE CROSS BLUE SHIELD
TX
01
—
P01186461
RR MEDICARE
TX
Enumeration date
09/04/2008
Last updated
08/16/2018
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