| Anda Psychiatry Pc | |
|
11805 Chimney Rock Road Suite 310144 Houston TX 77035-4202 | |
| (478) 216-6751 | |
| (844) 218-9369 |
| Full Name | Anda Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11805 Chimney Rock Road, Houston, Texas |
| Authorized Official Name and Position | Adaku N Njoku Animashaun (PERFORMING MD) |
| Authorized Official Contact | 4782166751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anda Psychiatry Pc 11805 Chimney Rock Rd Suite 310144 Houston TX 77035-4202 Ph: (312) 953-6331 | Anda Psychiatry Pc 11805 Chimney Rock Road Suite 310144 Houston TX 77035-4202 Ph: (478) 216-6751 |
| NPI Number | 1134618630 |
|---|---|
| Provider Enumeration Date | 05/09/2018 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/01/2024 |
| Medicare PECOS PAC ID | 5698028926 |
|---|---|
| Medicare Enrollment ID | O20181102000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134618630 | NPI | - | NPPES |
| T3350 | Other | TX | LICENSE |
| 46376101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Adaku Nwakego Njoku - Animashaun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164682431 PECOS PAC ID: 7416253919 Enrollment ID: I20181101003026 |
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