MEDICARE: ANTHONY ANAZONWU

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	3416L0300X	Land Ambulance	800221	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750430534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTHONY ANAZONWU

Provider Business Mailing Address
First Line	:	9000 W BELLFORT ST
Second Line	:	485
City	:	HOUSTON
State	:	TX
Zip	:	77031-2474
Country	:	US
Telephone Number	:	832-646-5813
Fax Number	:	713-271-7772

Provider Business Practice Location Address
First Line	:	9000 W BELLFORT ST
Second Line	:	485
City	:	HOUSTON
State	:	TX
Zip	:	77031-2474
Country	:	US
Telephone Number	:	832-646-5813
Fax Number	:	713-271-7772

Authorized Official
Title or Position	:	OWNER
Name	:	ANTHONY ANAZONWU
Credential	:
Telephone Number	:	832-646-5813

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	11/21/2008

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Directions to “ANTHONY ANAZONWU ” Practice Location

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