Provider Demographics
NPI:1649610957
Name:ANUJULU, DESSIELENE (RN, BSN,)
Entity type:Individual
Prefix:
First Name:DESSIELENE
Middle Name:
Last Name:ANUJULU
Suffix:
Gender:F
Credentials:RN, BSN,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12430 OXFORD PARK DR
Mailing Address - Street 2:#226
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2563
Mailing Address - Country:US
Mailing Address - Phone:832-310-6563
Mailing Address - Fax:
Practice Address - Street 1:12430 OXFORD PARK DR
Practice Address - Street 2:#226
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2563
Practice Address - Country:US
Practice Address - Phone:832-310-6563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator