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Individual

ANITA E GOULD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
13750 SAN PEDRO AVE STE 140, SAN ANTONIO, TX 78232-4358
(210) 900-5495
(949) 399-6008
Mailing address
14317 POTRANCO RD STE 205228, SAN ANTONIO, TX 78253-7125
(210) 900-5495

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
154014
GA
163W00000X
Registered Nurse
672611
TX
363LF0000X
Family Nurse Practitioner
0024174839
VA
363LF0000X
Family Nurse Practitioner
154014
GA
363LF0000X
Family Nurse Practitioner
Primary
AP135557
TX

Other

Enumeration date
04/20/2017
Last updated
03/18/2024
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