Provider Demographics
NPI:1922742691
Name:ANOWO PLLC
Entity Type:Organization
Organization Name:ANOWO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:
Authorized Official - First Name:ADAOMA
Authorized Official - Middle Name:N
Authorized Official - Last Name:OFOKANSI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:772-480-0158
Mailing Address - Street 1:3107 MULBERRY RANCH DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3026
Mailing Address - Country:US
Mailing Address - Phone:772-480-0158
Mailing Address - Fax:
Practice Address - Street 1:19214 CLAY RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-4081
Practice Address - Country:US
Practice Address - Phone:772-480-0158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty