Provider Demographics
NPI:1811051873
Name:REDDY, ANITA M (WHCNP)
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:M
Last Name:REDDY
Suffix:
Gender:F
Credentials:WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 660599
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75266-0599
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:802 HOPKINS ST FL 2
Practice Address - Street 2:GARLAND WOMEN'S HEALTH CENTER
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-7379
Practice Address - Country:US
Practice Address - Phone:214-266-0780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX513924363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137793913Medicaid
TX137793911Medicaid
TX137793919Medicaid
TX137793903Medicaid
TX137793906Medicaid
TX137793915Medicaid
TX137793905Medicaid
TX137793914Medicaid
TX137793904Medicaid
TX137793917Medicaid
TX137793920Medicaid
TX8Y5196OtherBLUE CROSS BLUE SHIELD
TX137793910Medicaid
TX137793912Medicaid
TX137793901Medicaid
TX137793916Medicaid
TX137793909Medicaid
TX137793918Medicaid