Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | L8928 | TX |
N | 111NI0900X | Internist | L8928 | TX |
Y | 207RG0300X | Geriatric Medicine | L8928 | TX |
NPI | 1104846328 |
---|---|
Provider Name | Dr. Anna Monika Rotkiewicz |
First Address | Houston, TX 77096-1301 |
Second Address | Texas City, TX 77590-6316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 28/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
180524401 | (05) | TX |
I47129 | (02) |