Basic Information
Provider Information
NPI: 1366413171
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GONZALEZ
FirstName: ANNE
MiddleName: VAN HORNE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 929 GESSNER RD
Address2: SUITE 2100
City: HOUSTON
State: TX
PostalCode: 770242515
CountryCode: US
TelephoneNumber: 7134644111
FaxNumber: 7134643116
Practice Location
Address1: 929 GESSNER RD
Address2: SUITE 2100
City: HOUSTON
State: TX
PostalCode: 770242515
CountryCode: US
TelephoneNumber: 7134644111
FaxNumber: 7134643116
Other Information
ProviderEnumerationDate: 01/30/2006
LastUpdateDate: 01/18/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XP1425TXY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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