Individual
ANNA LICHORAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2900 E 29TH ST STE 200, BRYAN, TX 77802-2623
(979) 776-8440
(877) 601-5854
Mailing address
2900 E 29TH ST STE 100, BRYAN, TX 77802-2623
(979) 776-8440
(979) 776-6905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L4532
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040037603
—
TX
Enumeration date
08/11/2006
Last updated
07/15/2020
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