MEDICARE: DR. ANNE VAN HORNE GONZALEZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	P1425	TX

General Provider Information

NPI Number	:	1366413171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE VAN HORNE GONZALEZ M.D.

Provider Business Mailing Address
First Line	:	929 GESSNER RD
Second Line	:	SUITE 2100
City	:	HOUSTON
State	:	TX
Zip	:	77024-2515
Country	:	US
Telephone Number	:	713-464-4111
Fax Number	:	713-464-3116

Provider Business Practice Location Address
First Line	:	929 GESSNER RD
Second Line	:	SUITE 2100
City	:	HOUSTON
State	:	TX
Zip	:	77024-2515
Country	:	US
Telephone Number	:	713-464-4111
Fax Number	:	713-464-3116

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	01/18/2012

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