MEDICARE: ANBAKI 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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1679440507
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANBAKI PLLC

Provider Business Mailing Address
First Line	:	20423 KUYKENDAHL RD STE 200
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-3492
Country	:	US
Telephone Number	:	281-214-3688
Fax Number	:	281-826-0084

Provider Business Practice Location Address
First Line	:	20423 KUYKENDAHL RD STE 200
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-3492
Country	:	US
Telephone Number	:	281-214-3688
Fax Number	:	281-826-0084

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. SIRO ATHEER
Credential	:
Telephone Number	:	713-291-9032

Provider Enumeration Date	:	10/23/2025
Last Update Date	:	10/23/2025

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