Individual
ANU ROSE ANTONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 HERITAGE WELL LN, ROUND ROCK, TX 78665-1262
(484) 477-6545
Mailing address
4502 HERITAGE WELL LN, ROUND ROCK, TX 78665-1262
(484) 477-6545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP131523
TX
Other
Enumeration date
09/17/2016
Last updated
09/17/2016
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