Basic Information
| Provider Information | |||||||||
| NPI: | 1124783097 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ANILKUMAR | ||||||||
| FirstName: | SREEDEVI | ||||||||
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| Credential: | FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10042 RHINEY CT | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770897044 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8324620530 | ||||||||
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| Practice Location | |||||||||
| Address1: | LONG POINT MEDICAL CENTER | ||||||||
| Address2: | 9504 LONG POINT RD | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 77055 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7134613535 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/04/2021 | ||||||||
| LastUpdateDate: | 11/04/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/18/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 143581 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.