MEDICARE: ASPEN HEALTH CARE CLINIC PLLC

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	207Q00000X	Family Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7E6662	OTHER	TX	MEDICARE

General Provider Information

NPI Number	:	1356158570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPEN HEALTH CARE CLINIC PLLC

Provider Business Mailing Address
First Line	:	3634 GLENN LAKES LN STE 190
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4045
Country	:	US
Telephone Number	:	832-759-4705
Fax Number	:	281-946-8664

Provider Business Practice Location Address
First Line	:	11152 S GESSNER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-1908
Country	:	US
Telephone Number	:	832-759-4705
Fax Number	:	281-946-8664

Authorized Official
Title or Position	:	OWNER
Name	:	DR. FRANCES EBO ANAGOR
Credential	:	MD
Telephone Number	:	832-759-4705

Provider Enumeration Date	:	12/11/2024
Last Update Date	:	04/01/2026

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