Godinez, Anisa M

Godinez, Anisa M is an sole proprietor health care provider with primary practice located at 1400 Hesters Crossing Rd , Round Rock TX 78681-8025. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Godinez, Anisa M can be contacted via phone (512) 244-4400.

Contact Information

Primary practice address
1400 Hesters Crossing Rd Round Rock TX 78681-8025
Phone: (512) 244-4400
Fax: (512) 244-4752
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X J4821 Texas

Profile Details

NPI number 1467413765
LBN Legal business name Godinez, Anisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2006
Last updated Nov 1st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467413765 NPPES
Texas MEDICAID 089777902

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