Provider Demographics
NPI:1356158570
Name:ASPEN HEALTH CARE CLINIC PLLC
Entity type:Organization
Organization Name:ASPEN HEALTH CARE CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:EBO
Authorized Official - Last Name:ANAGOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-759-4705
Mailing Address - Street 1:3634 GLENN LAKES LN STE 190
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4045
Mailing Address - Country:US
Mailing Address - Phone:832-759-4705
Mailing Address - Fax:281-946-8664
Practice Address - Street 1:3634 GLENN LAKES LN STE 190
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4045
Practice Address - Country:US
Practice Address - Phone:832-759-4705
Practice Address - Fax:281-946-8664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-11
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7E6662OtherMEDICARE