Healthcare Provider Details

I. General information

NPI: 1730193087
Provider Name (Legal Business Name): ANIEFIOK INNOCENT USORO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2702 SCARLET SUNSET CT
SUGAR LAND TX
77478-5460
US

IV. Provider business mailing address

2702 SCARLET SUNSET CT
SUGAR LAND TX
77478-5460
US

V. Phone/Fax

Practice location:
  • Phone: 281-683-8971
  • Fax: 713-776-9920
Mailing address:
  • Phone: 281-683-8971
  • Fax: 713-776-9920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374T00000X
TaxonomyReligious Nonmedical Nursing Personnel
License Number700091
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: