Provider Demographics
NPI:1699094672
Name:ANYATONWU, BLESSING UZOCHI (DC)
Entity type:Individual
Prefix:
First Name:BLESSING
Middle Name:UZOCHI
Last Name:ANYATONWU
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8760A RESEARCH BLVD # 495
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-6420
Mailing Address - Country:US
Mailing Address - Phone:512-481-2682
Mailing Address - Fax:
Practice Address - Street 1:223 W ANDERSON LN
Practice Address - Street 2:SUITE B 500
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-1131
Practice Address - Country:US
Practice Address - Phone:512-481-2682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-29
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11434111N00000X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition