Healthcare Provider Details

I. General information

NPI: 1992264048
Provider Name (Legal Business Name): KRISTEEN ONYIRIOHA OGUNSANWO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24500 NORTHWEST FWY
CYPRESS TX
77429-2199
US

IV. Provider business mailing address

4427 BORA BORA LN
HOUSTON TX
77045-1735
US

V. Phone/Fax

Practice location:
  • Phone: 346-618-2000
  • Fax:
Mailing address:
  • Phone: 832-794-1767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberU0172
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: