Provider Demographics
NPI:1891926242
Name:ANYANWU, YOUNG OKORO
Entity Type:Individual
Prefix:MR
First Name:YOUNG
Middle Name:OKORO
Last Name:ANYANWU
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 1:16010 PASADERO DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-2921
Mailing Address - Country:US
Mailing Address - Phone:832-877-1340
Mailing Address - Fax:281-383-9961
Practice Address - Street 1:16010 PASADERO DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-2921
Practice Address - Country:US
Practice Address - Phone:832-877-1340
Practice Address - Fax:281-383-9961
Is Sole Proprietor?:No
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372600000X
TX372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion