Provider Demographics
NPI:1003683582
Name:GREENAWAY, AISHA
Entity Type:Individual
Prefix:MISS
First Name:AISHA
Middle Name:
Last Name:GREENAWAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13700 VETERANS MEMORIAL DR STE 240B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1035
Mailing Address - Country:US
Mailing Address - Phone:346-379-6917
Mailing Address - Fax:281-503-7780
Practice Address - Street 1:13700 VETERANS MEMORIAL DR STE 240B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1035
Practice Address - Country:US
Practice Address - Phone:346-379-6917
Practice Address - Fax:281-503-7780
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service