Organization Name: | TITUS K. VENYAH, MD, PA |
NPI Number: | 1952411993 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TITUS KOFI VENYAH (PRESIDENT) |
Mailing Address: | 21415 Winding Path Way Richmond |
State: | TX US |
Postal Code: | 774063605 |
Phone Number: | 8325885604 |
Fax Number: | 2812392470 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 10/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | L7590 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |