Provider Demographics
NPI:1245805738
Name:MORGAN, ANYA NECHELLE
Entity Type:Individual
Prefix:
First Name:ANYA
Middle Name:NECHELLE
Last Name:MORGAN
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 1:8866 GULF FWY STE 384
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77017-6559
Mailing Address - Country:US
Mailing Address - Phone:713-855-4549
Mailing Address - Fax:281-220-1087
Practice Address - Street 1:8866 GULF FWY STE 384
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-6559
Practice Address - Country:US
Practice Address - Phone:713-855-4549
Practice Address - Fax:281-220-1087
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32332251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health