IndividualActive
Kojo Anebo, ADMINISTRATOR
NPI 1396255683 · Religious Nonmedical Nursing Personnel · Desoto, TX
Provider details
- NPI number
- 1396255683
- Entity type
- Individual
- Primary specialty
- Religious Nonmedical Nursing PersonnelNursing Service Related Providers
- Credential
- ADMINISTRATOR
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1723 Carriage Creek Dr
Desoto, TX 75115-3675
Phone: (214) 875-6961
Fax: (972) 780-5579
Approximate (ZIP-level) locationGet directions
Mailing address
1723 Carriage Creek Dr
Desoto, TX 75115-3675
Registry dates
- Enumerated
- 2017-10-02
- Last updated
- 2017-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.