MEDICARE: DR. FRANCIS ANWASI M.D

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	25657	OK

General Provider Information

NPI Number	:	1356537344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCIS ANWASI M.D

Provider Business Mailing Address
First Line	:	4301 COLLEGE DR
Second Line	:	SUITE 700
City	:	VERNON
State	:	TX
Zip	:	76384-3128
Country	:	US
Telephone Number	:	940-552-2164
Fax Number	:	940-552-2487

Provider Business Practice Location Address
First Line	:	4301 COLLEGE DR
Second Line	:	SUITE 700
City	:	VERNON
State	:	TX
Zip	:	76384-3128
Country	:	US
Telephone Number	:	940-552-9352
Fax Number	:

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

Provider Enumeration Date	:	09/24/2007
Last Update Date	:	12/02/2011

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