MEDICARE: FURAHA HEALTH CENTER LLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1376415117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FURAHA HEALTH CENTER LLC

Provider Business Mailing Address
First Line	:	8121 BROADWAY ST STE 109
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77061-1340
Country	:	US
Telephone Number	:	737-677-3831
Fax Number	:	737-738-6223

Provider Business Practice Location Address
First Line	:	8121 BROADWAY ST STE 109
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77061-1340
Country	:	US
Telephone Number	:	737-677-3831
Fax Number	:	737-738-6223

Authorized Official
Title or Position	:	OWNER
Name	:	CAROLINE NJERI MBOGUA
Credential	:	MD
Telephone Number	:	737-677-3831

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	12/01/2025

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