Provider Demographics
NPI:1588284939
Name:MY ADVANCED NP, PLLC
Entity type:Organization
Organization Name:MY ADVANCED NP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR/ PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASONYE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:713-443-6887
Mailing Address - Street 1:225 MATLAGE WAY #2821
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77487-2821
Mailing Address - Country:US
Mailing Address - Phone:713-443-6887
Mailing Address - Fax:
Practice Address - Street 1:24601 SOUTHWEST FWY STE 300
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-6266
Practice Address - Country:US
Practice Address - Phone:713-443-6887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-24
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service