Provider Demographics
NPI:1487879318
Name:GONDESEN, ANTHONY GENE (DC, RMT)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:GENE
Last Name:GONDESEN
Suffix:
Gender:M
Credentials:DC, RMT
Other - Prefix:
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Mailing Address - Street 1:2302 45TH ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-7399
Mailing Address - Country:US
Mailing Address - Phone:409-750-8431
Mailing Address - Fax:409-515-9040
Practice Address - Street 1:2302 45TH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-7399
Practice Address - Country:US
Practice Address - Phone:409-750-8431
Practice Address - Fax:409-515-9040
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX6676111N00000X
TXMTO18362225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist