Healthcare Provider Details

I. General information

NPI: 1699681932
Provider Name (Legal Business Name): ERHAUYI AIGBE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 ANSERRA TRL # 6313
KATY TX
77494-8701
US

IV. Provider business mailing address

4000 ANSERRA TRAIL 6313
KATY TX
77494
US

V. Phone/Fax

Practice location:
  • Phone: 857-800-6041
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: