Individual
SHANIQUA JOHNSON ANUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 822-4242
Mailing address
1102 BATES AVE STE C1570, HOUSTON, TX 77030-2617
(832) 824-4294
(832) 825-9460
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125068492
IL
208000000X
Pediatrics Physician
T6270
TX
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
T6270
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T6270
PHYSICIAN LICENSE
TX
Enumeration date
03/22/2016
Last updated
08/19/2022
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