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Organization

KANAYOCHUKWU J. ANYA MD FACS, PLLC

Active
Other names
ANYA BARIATRICS & AESTHETICS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KANAYOCHUKWU KANNY JACQUELYNE ANYA MD FACS (CHIEF EXECUTIVE OFFICER)
(817) 759-9008
Entity
Organization

Contact information

Practice address
6100 HARRIS PKWY STE 380, FORT WORTH, TX 76132-4128
(817) 759-9008
(844) 583-5414
Mailing address
6100 HARRIS PARKWAY, 380, FORT WORTH, TX 76132
(817) 759-9008
(844) 583-5414

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
N9800
TX

Other

Enumeration date
05/30/2017
Last updated
08/04/2017
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