Provider Demographics
NPI:1407017320
Name:ANUGWOM, DOROTHY L
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:L
Last Name:ANUGWOM
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 1:2006 COURTSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-5206
Mailing Address - Country:US
Mailing Address - Phone:281-975-7216
Mailing Address - Fax:281-980-4266
Practice Address - Street 1:2006 COURTSHIRE LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5206
Practice Address - Country:US
Practice Address - Phone:281-975-7216
Practice Address - Fax:281-980-4266
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2010-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management