Provider Demographics
NPI:1982402897
Name:ODIWE ANYANWU, SHEILA
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:ODIWE ANYANWU
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 TRADEWIND PASS DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2672
Mailing Address - Country:US
Mailing Address - Phone:713-922-0704
Mailing Address - Fax:
Practice Address - Street 1:510 MURPHY RD
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-5400
Practice Address - Country:US
Practice Address - Phone:713-922-0704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1173872207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine