Individual
ANTHONY OMOKHEOWA ANANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, MBA
Contact information
Practice address
4200 W UNIVERSITY DR, PROSPER, TX 75078-9805
(682) 303-4200
(682) 303-4242
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1860
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.12088
OH
2080P0206X
Pediatric Gastroenterology Physician
Primary
Q7135
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2010
Last updated
04/13/2021
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