MEDICARE: CHINAZOR OGBUEHI DDS

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	122300000X	Dentist	28655	TX

General Provider Information

NPI Number	:	1295090686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHINAZOR OGBUEHI DDS

Provider Business Mailing Address
First Line	:	8420 S SAM HOUSTON PKWY W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77085-2287
Country	:	US
Telephone Number	:	713-721-4500
Fax Number	:

Provider Business Practice Location Address
First Line	:	8420 S SAM HOUSTON PKWY W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77085-2287
Country	:	US
Telephone Number	:	713-721-4500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2012
Last Update Date	:	06/25/2013

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Directions to “ CHINAZOR OGBUEHI DDS” Practice Location

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