Provider Demographics
NPI:1174839047
Name:OBINNA, ANGELA (FNP BC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:OBINNA
Suffix:
Gender:F
Credentials:FNP BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 HARWIN DR
Mailing Address - Street 2:SUITE 310
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2014
Mailing Address - Country:US
Mailing Address - Phone:713-774-1550
Mailing Address - Fax:713-774-1595
Practice Address - Street 1:7400 HARWIN DR
Practice Address - Street 2:SUITE 310
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2014
Practice Address - Country:US
Practice Address - Phone:832-804-7397
Practice Address - Fax:832-804-8987
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2015-05-08
Deactivation Date:2010-08-18
Deactivation Code:
Reactivation Date:2010-08-30
Provider Licenses
StateLicense IDTaxonomies
TX570251164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse