MEDICARE: BENNETH CHIBUZOR ANYANWU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide		TX

General Provider Information

NPI Number	:	1225928831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENNETH CHIBUZOR ANYANWU

Provider Business Mailing Address
First Line	:	7410 LA GRANADA DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-4015
Country	:	US
Telephone Number	:	856-726-1876
Fax Number	:

Provider Business Practice Location Address
First Line	:	7410 LA GRANADA DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-4015
Country	:	US
Telephone Number	:	856-726-1876
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2025
Last Update Date	:	07/07/2025

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