Healthcare Provider Details

I. General information

NPI: 1437641792
Provider Name (Legal Business Name): ANJU LAXMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2018
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3117 COLLEGE PARK DR
CONROE TX
77384-4190
US

IV. Provider business mailing address

3117 COLLEGE PARK DR STE 200
CONROE TX
77384-4192
US

V. Phone/Fax

Practice location:
  • Phone: 832-644-8930
  • Fax: 855-227-3506
Mailing address:
  • Phone: 832-644-8930
  • Fax: 855-227-3506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP137657
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: