Provider Demographics
NPI:1801298062
Name:OBINANI, LINDA
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:OBINANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1907 APPLETON DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-4097
Mailing Address - Country:US
Mailing Address - Phone:832-641-3401
Mailing Address - Fax:
Practice Address - Street 1:10707 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4095
Practice Address - Country:US
Practice Address - Phone:832-500-4171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker