Healthcare Provider Details

I. General information

NPI: 1295090686
Provider Name (Legal Business Name): CHINAZOR OGBUEHI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2012
Last Update Date: 06/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8420 S SAM HOUSTON PKWY W
HOUSTON TX
77085-2287
US

IV. Provider business mailing address

8420 S SAM HOUSTON PKWY W
HOUSTON TX
77085-2287
US

V. Phone/Fax

Practice location:
  • Phone: 713-721-4500
  • Fax:
Mailing address:
  • Phone: 713-721-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number28655
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: