Provider Demographics
NPI:1700256922
Name:KEENE, ANABELLE (NP)
Entity type:Individual
Prefix:
First Name:ANABELLE
Middle Name:
Last Name:KEENE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 FANNIN ST STE 2070
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1541
Mailing Address - Country:US
Mailing Address - Phone:713-704-7100
Mailing Address - Fax:713-704-1262
Practice Address - Street 1:6400 FANNIN ST STE 2800
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1534
Practice Address - Country:US
Practice Address - Phone:713-500-6128
Practice Address - Fax:713-500-0665
Is Sole Proprietor?:No
Enumeration Date:2015-09-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX805807163W00000X
TXAP129480363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00106WOtherMDCR GRP PTAN
TX0035TDOtherBCBSTX GRP RECORD #
TX153449704OtherMDCD GRP TPI HARRIS CO