Provider Demographics
NPI:1558669861
Name:ANYICHIE, EUCHARIA OLUCHUKWU
Entity Type:Individual
Prefix:
First Name:EUCHARIA
Middle Name:OLUCHUKWU
Last Name:ANYICHIE
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 1:1000 CYPRESS CREEK PKWY
Mailing Address - Street 2:#119
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090
Mailing Address - Country:US
Mailing Address - Phone:281-781-7188
Mailing Address - Fax:281-781-7188
Practice Address - Street 1:1000 CYPRESS CREEK PKWY
Practice Address - Street 2:#119
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090
Practice Address - Country:US
Practice Address - Phone:281-781-7188
Practice Address - Fax:281-781-7188
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-10
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144685363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner