Healthcare Provider Details

I. General information

NPI: 1295767515
Provider Name (Legal Business Name): H MICHAEL OGBURN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7777 SOUTHWEST FREEWAY SUITE 1052
HOUSTON TX
77074
US

IV. Provider business mailing address

450 THIS WAY ST STE B
LAKE JACKSON TX
77566-5152
US

V. Phone/Fax

Practice location:
  • Phone: 713-988-8776
  • Fax: 713-988-8662
Mailing address:
  • Phone: 979-297-2220
  • Fax: 979-297-3330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberF3572
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: