Provider Demographics
NPI:1366859415
Name:ANNA NGANG
Entity Type:Organization
Organization Name:ANNA NGANG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:N
Authorized Official - Last Name:NGANG
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:832-396-5992
Mailing Address - Street 1:5606 GEORGETOWN COLONY DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7127
Mailing Address - Country:US
Mailing Address - Phone:832-396-5992
Mailing Address - Fax:
Practice Address - Street 1:5606 GEORGETOWN COLONY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7127
Practice Address - Country:US
Practice Address - Phone:832-396-5992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11941283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX11941OtherSTATE OF TEXAS