Okogbo, Michael Ebhota

Okogbo, Michael Ebhota is an individual health care provider with primary practice located at 15210 I-45 S Suite 110, Conroe TX 77384-4105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Okogbo, Michael Ebhota can be contacted via phone (936) 270-8655.

Contact Information

Primary practice address
15210 I-45 S Suite 110 Conroe TX 77384-4105
Phone: (936) 270-8655
Fax: (936) 270-8739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X K4516 Texas

Profile Details

NPI number 1043224132
LBN Legal business name Okogbo, Michael Ebhota
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Apr 28th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043224132 NPPES
Texas MEDICAID 125748707
Texas MEDICAID 200134400 A
Texas Other 125748708
Texas MEDICAID 67022383

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