Anyalebechi, Agnes C
Anyalebechi, Agnes C is an sole proprietor health care provider with primary practice located at 3909 Shaver St , Pasadena TX 77504-2603. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Physician Assistants & Advanced Practice Nursing Providers / Family Health is her primary health care specialty. Anyalebechi, Agnes C can be contacted via phone (832) 804-7094.Contact Information
Primary practice address
3909 Shaver St
Pasadena TX 77504-2603
Phone: (832) 804-7094
Fax: (832) 831-1128
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 121728 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Family Health | 364SF0001X | 00196174 | Texas |
Profile Details
NPI number | 1588908594 |
---|---|
LBN Legal business name | Anyalebechi, Agnes C |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 15th, 2012 |
Last updated | Mar 17th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588908594 | NPPES |
Texas | MEDICAID | 341772701 | |
Texas | MEDICAID | 341771901 |
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