1679706055 NPI number — MRS. FLOXY U ANIMADU

Table of content: MRS. FLOXY U ANIMADU (NPI 1679706055)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679706055 NPI number — MRS. FLOXY U ANIMADU

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ANIMADU
Provider First Name:
FLOXY
Provider Middle Name:
U
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679706055
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/01/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2825 WILCREST DR
Provider Second Line Business Mailing Address:
SUITE 532
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77042-3391
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-785-0600
Provider Business Mailing Address Fax Number:
832-242-2701

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2825 WILCREST DR
Provider Second Line Business Practice Location Address:
SUITE 532
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77042-3391
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-785-0600
Provider Business Practice Location Address Fax Number:
832-242-2701
Provider Enumeration Date:
09/01/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: B459862 . This is a "DBA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com