Provider Demographics
NPI:1952373631
Name:ROSSEL, ANIBAL F (MD)
Entity Type:Individual
Prefix:DR
First Name:ANIBAL
Middle Name:F
Last Name:ROSSEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8939 CLEARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77075-1801
Mailing Address - Country:US
Mailing Address - Phone:713-910-2244
Mailing Address - Fax:713-910-3444
Practice Address - Street 1:8939 CLEARWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77075-1801
Practice Address - Country:US
Practice Address - Phone:713-910-2244
Practice Address - Fax:713-910-3444
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH9415207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133460905Medicaid
TXE52573Medicare UPIN
TX133460905Medicaid