Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | M8681 | TX |
NPI | 1346443538 |
---|---|
Provider Name | Dr. Anna Bertha Gonzalez |
First Address | Corpus Christi, TX 78412-4938 |
Second Address | Corpus Christi, TX 78412-4938 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2007 |
Last Update Date | 06/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BP1-0022870 | INSTITUTIONAL PERMIT (01) |