Provider Demographics
NPI:1740565944
Name:KANU, COMFORT (NURSE)
Entity Type:Individual
Prefix:MRS
First Name:COMFORT
Middle Name:
Last Name:KANU
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 TEXAS PKWY
Mailing Address - Street 2:SUITE 250
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-4000
Mailing Address - Country:US
Mailing Address - Phone:281-261-5250
Mailing Address - Fax:281-261-5750
Practice Address - Street 1:2440 TEXAS PKWY
Practice Address - Street 2:SUITE 250
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-4000
Practice Address - Country:US
Practice Address - Phone:281-261-5250
Practice Address - Fax:281-261-5750
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX568289163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse