Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | P7015 | TX |
N | 111NI0900X | Internist | P7015 | TX |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | P7015 | TX |
Y | 207RC0000X | Internist - Cardiovascular Disease | P7015 | TX |
N | 208000000X | Pediatrician | P7015 | TX |
N | 2080P0202X | Pediatric Cardiologist | P7015 | TX |
NPI | 1720213309 |
---|---|
Provider Name | Angeline Opina Gonzalez |
First Address | Houston, TX 77030-2351 |
Second Address | Houston, TX 77030-2351 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2009 |
Last Update Date | 26/01/2022 |