Basic Information
Provider Information
NPI: 1457973547
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: APAU
FirstName: DANIEL
MiddleName: KWAME
NamePrefix: MR.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6501 FANNIN ST STE NC114
Address2:  
City: HOUSTON
State: TX
PostalCode: 770302703
CountryCode: US
TelephoneNumber: 7137987356
FaxNumber:  
Practice Location
Address1: 6720 BERTNER AVE STE O-520
Address2:  
City: HOUSTON
State: TX
PostalCode: 770302604
CountryCode: US
TelephoneNumber: 8323552666
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/11/2020
LastUpdateDate: 07/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/27/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LC0200XAP145633TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
363LA2100X909089TXN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
363LA2100XAP145633TXN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


Home