Aneu Life Clinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ANEU LIFE CLINIC LLC

Practice address

11104 W Airport Blvd Ste 217
Stafford, TX 77477-3197

Phone

(281) 720-6034

NPI assigned

Dec 11, 2024

Organization subpart

No

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

Authorized official

Name

Michele Trudy Noel

Title

Pharmacy Techincian

Phone

(718) 433-7014

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1942017199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11104 W AIRPORT BLVD STE 217",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773197",
            "telephone_number": "281-720-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 W AIRPORT BLVD STE 217",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773197",
            "telephone_number": "281-720-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEU LIFE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "TRUDY",
        "authorized_official_title_or_position": "PHARMACY TECHINCIAN",
        "authorized_official_telephone_number": "718-433-7014"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Stafford, TX
• Providers in Stafford, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.