Provider Demographics
NPI:1053031914
Name:ENOW, ROGET AGBOR
Entity type:Individual
Prefix:
First Name:ROGET
Middle Name:AGBOR
Last Name:ENOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROGET
Other - Middle Name:AGBOR
Other - Last Name:ASHUTABI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9301 BEECHNUT ST APT 1416
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-6617
Mailing Address - Country:US
Mailing Address - Phone:281-408-6086
Mailing Address - Fax:
Practice Address - Street 1:9301 BEECHNUT ST APT 1416
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-6617
Practice Address - Country:US
Practice Address - Phone:281-408-6086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40957183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician