Individual
MR. ANAYO G MBADUGHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
(713) 541-0199
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
(713) 541-0199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
011541
NY
363A00000X
Physician Assistant
Primary
PA06447
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125106
—
TX
Enumeration date
11/01/2006
Last updated
12/07/2022
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