Healthcare Provider Details

I. General information

NPI: 1932303518
Provider Name (Legal Business Name): YOSHIKO NONESUPPLIED OGAWA-REEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 05/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12727 KIMBERLEY LN SUITE 210
HOUSTON TX
77024-4047
US

IV. Provider business mailing address

12727 KIMBERLEY LN SUITE 210
HOUSTON TX
77024-4047
US

V. Phone/Fax

Practice location:
  • Phone: 832-900-1191
  • Fax: 855-848-8745
Mailing address:
  • Phone: 832-900-1191
  • Fax: 855-848-8745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberM8223
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: