Provider Demographics
NPI:1861580854
Name:OBEY, SHEENA F (RN, ANP)
Entity type:Individual
Prefix:
First Name:SHEENA
Middle Name:F
Last Name:OBEY
Suffix:
Gender:F
Credentials:RN, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14231 FM 1464 RD
Mailing Address - Street 2:#16304
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7641
Mailing Address - Country:US
Mailing Address - Phone:713-468-2358
Mailing Address - Fax:713-920-9605
Practice Address - Street 1:902 FROSTWOOD DR
Practice Address - Street 2:#246
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2420
Practice Address - Country:US
Practice Address - Phone:713-468-2358
Practice Address - Fax:713-920-9605
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX620558363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00691127OtherRR MEDICARE
TX181283601Medicaid
TX8N9967OtherBCBS
TX8G5051Medicare PIN
TX181283601Medicaid