Anti Aging Center of Texas

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ANTI AGING CENTER OF TEXAS

Practice address

1400 Creekway Drive
Ste 201a
Sugarland, TX 77478-4073

Phone

(281) 759-6437

Fax

(281) 759-6447

NPI assigned

Nov 25, 2024

Last updated

Nov 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Josier Mariano Nisnisan, M.D.NPI 1639391527

Title

Ceo/President

Phone

(281) 759-6437

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Josier Mariano Nisnisan, MD

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1639391527
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1720804776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CREEKWAY DRIVE",
            "address_2": "STE 201A",
            "city": "SUGARLAND",
            "state": "TX",
            "postal_code": "774784073",
            "telephone_number": "281-759-6437",
            "fax_number": "281-759-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CREEKWAY DRIVE",
            "address_2": "STE 201A",
            "city": "SUGARLAND",
            "state": "TX",
            "postal_code": "774784073",
            "telephone_number": "281-759-6437",
            "fax_number": "281-759-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTI AGING CENTER OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "NISNISAN",
        "authorized_official_first_name": "JOSIER",
        "authorized_official_middle_name": "MARIANO",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "281-759-6437",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinyere Roseline Anokwuru
• Ahsan Ansari
• Hamza Zaheer Ansari, MD
• Usman Ansari, DO
• Answell Equipment Services LLC
• Bini Biju Antony
• Dorothy L Anugwom
• Arwa Zubair Anwar
• Faizunnisa Anwar, M.D.
• Edith I Anyagafu, FNP

• Internal Medicine Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.