Individual provider Active NPI

Aglass N Inyang, PRESIDENT

  • Contractor
  • Sugar Land, TX
National Provider Identifier
1366638884
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
TX14205 Issued in TX
Practice address
104 Industrial Blvd
Suite L
Sugar Land, TX 77478-3180
Phone
(281) 491-4091
Fax
(281) 491-8183
NPI assigned
Sep 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X TX14205 TX Primary

Addresses

Primary practice location

104 Industrial Blvd
Suite L
Sugar Land, TX 77478-3180

Mailing address

104 Industrial Blvd
Suite L
Sugar Land, TX 77478-3180
Phone (281) 491-4091

Other identifiers 1

IdentifierTypeStateIssuer
0097147OtherTXFOOD WHOLESALER & DEVICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TX14205TXMDContractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1366638884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 INDUSTRIAL BLVD",
            "address_2": "SUITE L",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783180",
            "telephone_number": "281-491-4091",
            "fax_number": "281-491-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 INDUSTRIAL BLVD",
            "address_2": "SUITE L",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783180",
            "telephone_number": "281-491-4091",
            "fax_number": "281-491-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INYANG",
        "first_name": "AGLASS",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "PRESIDENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "TX14205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOOD WHOLESALER & DEVICE",
            "identifier": "0097147",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.