Individual
AGNES C ANYALEBECHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3909 SHAVER ST, PASADENA, TX 77504-2603
(832) 804-7094
(832) 831-1128
Mailing address
3909 SHAVER ST, PASADENA, TX 77504-2603
(832) 804-7094
(832) 831-1128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
121728
TX
364SF0001X
Family Health Clinical Nurse Specialist
Primary
00196174
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341771901
—
TX
05
—
341772701
—
TX
Enumeration date
11/15/2012
Last updated
03/17/2018
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