Provider Demographics
NPI:1447493531
Name:ANANI, CONSTANCE ELOHOR (MD)
Entity type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:ELOHOR
Last Name:ANANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CONSTANCE
Other - Middle Name:ELOHOR
Other - Last Name:EJOVI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1111 MEDICAL PLAZA DR
Mailing Address - Street 2:SUITE 250
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3476
Mailing Address - Country:US
Mailing Address - Phone:281-296-8788
Mailing Address - Fax:281-465-4596
Practice Address - Street 1:1111 MEDICAL PLAZA DR
Practice Address - Street 2:SUITE 250
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3476
Practice Address - Country:US
Practice Address - Phone:281-296-8788
Practice Address - Fax:281-465-4596
Is Sole Proprietor?:No
Enumeration Date:2009-04-20
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ6930207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX362797801Medicaid
TX519657YTX8Medicare PIN