MEDICARE: CLAUDIA ANTONIA ORENGO M.D./PH.D.

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	2084P0800X	Psychiatry Physician	J2243	TX

General Provider Information

NPI Number	:	1427076314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA ANTONIA ORENGO M.D./PH.D.

Provider Business Mailing Address
First Line	:	6300 WEST LOOP S
Second Line	:	SUITE 130
City	:	BELLAIRE
State	:	TX
Zip	:	77401-2900
Country	:	US
Telephone Number	:	832-778-6322
Fax Number	:	832-778-6322

Provider Business Practice Location Address
First Line	:	6300 WEST LOOP S
Second Line	:	SUITE 420
City	:	BELLAIRE
State	:	TX
Zip	:	77401-2900
Country	:	US
Telephone Number	:	832-778-6322
Fax Number	:	832-778-6322

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	01/10/2008

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