MEDICARE: KYVITRA HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1174467021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KYVITRA HEALTH PLLC

Provider Business Mailing Address
First Line	:	3333 CALUMET ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-7847
Country	:	US
Telephone Number	:	832-622-5395
Fax Number	:	832-937-1442

Provider Business Practice Location Address
First Line	:	3333 CALUMET ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-7847
Country	:	US
Telephone Number	:	832-622-5395
Fax Number	:	832-937-1442

Authorized Official
Title or Position	:	MANAGER/OWNER
Name	:	OGADINMA OBIE
Credential	:	MD
Telephone Number	:	832-643-0167

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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