Provider Demographics
NPI:1831525922
Name:ESPEJO, ANTHIANIRA ANA (LSA, CSFA)
Entity type:Individual
Prefix:
First Name:ANTHIANIRA
Middle Name:ANA
Last Name:ESPEJO
Suffix:
Gender:F
Credentials:LSA, CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4134 FALSE CYPRESS LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-1131
Mailing Address - Country:US
Mailing Address - Phone:832-725-8265
Mailing Address - Fax:
Practice Address - Street 1:4134 FALSE CYPRESS LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-1131
Practice Address - Country:US
Practice Address - Phone:832-725-8265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-19
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical