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NPI Code Detail

MEDICARE: CHARLTON C ANYAGAFU

MEDICARE:   CHARLTON C ANYAGAFU
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
1251E00000XHome Health Agency009927TX

General Provider Information

NPI Number : 1659558021
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLTON C ANYAGAFU
Provider Business Mailing Address
First Line : 2620 TANGLEWILDE ST STE 109
Second Line :
City : HOUSTON
State : TX
Zip : 77063-3203
Country : US
Telephone Number : 346-261-2083
Fax Number : 346-341-3344
Provider Business Practice Location Address
First Line : 2620 TANGLEWILDE ST STE 109
Second Line :
City : HOUSTON
State : TX
Zip : 77063-3203
Country : US
Telephone Number : 346-261-2083
Fax Number : 346-341-3344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2008
Last Update Date : 03/18/2019

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Directions to “ CHARLTON C ANYAGAFU ” Practice Location

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