| Organization Name: | ANBAP WELLNESS LLC |
| NPI Number: | 1174913016 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN G MORGAN (OWNER) |
| Mailing Address: | 1003 Nederland Ave Nederland |
| State: | TX US |
| Postal Code: | 77627 |
| Phone Number: | 4092218294 |
| Fax Number: | 4093449592 |
| NPI Enumeration Date: | 01/30/2015 |
| NPI Last Update Date: | 01/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | 758246 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |