Provider Demographics
NPI:1821217969
Name:OBINZU, ANTHONY O
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:O
Last Name:OBINZU
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 1:9720 JONES RD STE 280
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4772
Mailing Address - Country:US
Mailing Address - Phone:832-875-8800
Mailing Address - Fax:
Practice Address - Street 1:7915 BURNING OAK LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-3370
Practice Address - Country:US
Practice Address - Phone:832-875-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55996183500000X
TXPENDING163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No163WH0200XNursing Service ProvidersRegistered NurseHome Health