Provider Demographics
NPI:1265787824
Name:JAMES, ANJALI MONI (ACNP)
Entity type:Individual
Prefix:MRS
First Name:ANJALI
Middle Name:MONI
Last Name:JAMES
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18220 STATE HIGHWAY 249
Mailing Address - Street 2:SUITE 249
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4347
Mailing Address - Country:US
Mailing Address - Phone:281-737-8300
Mailing Address - Fax:
Practice Address - Street 1:18220 STATE HIGHWAY 249
Practice Address - Street 2:SUITE 249
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4347
Practice Address - Country:US
Practice Address - Phone:281-737-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-19
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX673257363LA2100X
TXAP121822363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX899N25OtherBCBS
TX325986301Medicaid
TX8827NFOtherBLUE CROSS BLUE SHIELD
TX1265787824OtherBLUE CROSS BLUE SHIELD
TX325986303Medicaid
TX325986304Medicaid
TX899N25OtherBLUE CROSS BLUE SHIELD
TX899N25OtherBCBS
TX275875YMVQMedicare PIN
TX275875ZSWDMedicare PIN