Provider Demographics
NPI:1760018493
Name:ANIM KORANTENG, KATE
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:ANIM KORANTENG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9896 BISSONNET ST STE 315
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8153
Mailing Address - Country:US
Mailing Address - Phone:346-318-5725
Mailing Address - Fax:
Practice Address - Street 1:9896 BISSONNET ST STE 315
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8153
Practice Address - Country:US
Practice Address - Phone:914-619-4533
Practice Address - Fax:713-405-2722
Is Sole Proprietor?:No
Enumeration Date:2020-03-13
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX024213363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health