Provider Demographics
NPI:1184998247
Name:VANETEA, ANCA ELENA (L-CSA)
Entity type:Individual
Prefix:
First Name:ANCA
Middle Name:ELENA
Last Name:VANETEA
Suffix:
Gender:F
Credentials:L-CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6777 SOMMERALL DR APT 1431
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7008
Mailing Address - Country:US
Mailing Address - Phone:281-515-2697
Mailing Address - Fax:
Practice Address - Street 1:6777 SOMMERALL DR APT 1431
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7008
Practice Address - Country:US
Practice Address - Phone:281-515-2697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-06
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA 00441363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical