Provider Demographics
NPI:1679706055
Name:ANIMADU, FLOXY U
Entity Type:Individual
Prefix:MRS
First Name:FLOXY
Middle Name:U
Last Name:ANIMADU
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 1:2825 WILCREST DR
Mailing Address - Street 2:SUITE 532
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3391
Mailing Address - Country:US
Mailing Address - Phone:713-785-0600
Mailing Address - Fax:832-242-2701
Practice Address - Street 1:2825 WILCREST DR
Practice Address - Street 2:SUITE 532
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3391
Practice Address - Country:US
Practice Address - Phone:713-785-0600
Practice Address - Fax:832-242-2701
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB459862OtherDBA