Healthcare Provider Details

I. General information

NPI: 1700397882
Provider Name (Legal Business Name): Y.H. ANNA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2017
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 W WHITE ST STE 150
ANNA TX
75409-5159
US

IV. Provider business mailing address

2100 W. WHITE ST SUITE 150
ANNA TX
75409
US

V. Phone/Fax

Practice location:
  • Phone: 972-587-6080
  • Fax: 972-872-8667
Mailing address:
  • Phone: 972-587-6080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP121869
License Number StateTX

VIII. Authorized Official

Name: TRACY ROCHELLE WINDHAM
Title or Position: FNP-C
Credential:
Phone: 972-587-6080