Provider Demographics
NPI:1861876161
Name:ANAZA, HALIMAT (FNP)
Entity type:Individual
Prefix:
First Name:HALIMAT
Middle Name:
Last Name:ANAZA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 GESSNER RD STE 189
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-3851
Mailing Address - Country:US
Mailing Address - Phone:832-831-9433
Mailing Address - Fax:
Practice Address - Street 1:2600 GESSNER RD STE 189
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-3851
Practice Address - Country:US
Practice Address - Phone:832-705-2777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-16
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127864363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX37173401Medicaid
TX37173402Medicaid