Provider Demographics
NPI:1679056295
Name:ANOZIE, DANIEL OKECHUKWU
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:OKECHUKWU
Last Name:ANOZIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1144 WISHING WELL CT
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-8254
Mailing Address - Country:US
Mailing Address - Phone:832-881-2800
Mailing Address - Fax:
Practice Address - Street 1:1144 WISHING WELL CT
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-8254
Practice Address - Country:US
Practice Address - Phone:832-881-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
Provider Identifiers
StateIdentifier IDID TypeIssuer
831853122OtherFEDERAL