Provider Demographics
NPI:1245241009
Name:REDONDO, ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:REDONDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:808 RUSSELL PALMER RD
Mailing Address - Street 2:151
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1689
Mailing Address - Country:US
Mailing Address - Phone:281-540-7500
Mailing Address - Fax:281-540-7502
Practice Address - Street 1:808 RUSSELL PALMER RD
Practice Address - Street 2:151
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-1689
Practice Address - Country:US
Practice Address - Phone:281-540-7500
Practice Address - Fax:281-540-7502
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH6537207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG21512Medicare UPIN