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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043224132 | NPPES |
Texas | MEDICAID | 125748707 | |
Texas | MEDICAID | 200134400 A | |
Texas | Other | 125748708 | |
Texas | MEDICAID | 67022383 |
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