Healthcare Provider Details

I. General information

NPI: 1316435860
Provider Name (Legal Business Name): ESTHER OGECHUKWU ANYAORAH PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2018
Last Update Date: 05/31/2022
Certification Date: 05/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12435 GIRASOLE CT
RICHMOND TX
77406-2097
US

IV. Provider business mailing address

9100 SOUTHWEST FWY
HOUSTON TX
77074-1519
US

V. Phone/Fax

Practice location:
  • Phone: 281-935-9365
  • Fax:
Mailing address:
  • Phone: 281-935-9365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1018475
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number893349
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: