Healthcare Provider Details

I. General information

NPI: 1346507662
Provider Name (Legal Business Name): ESOHE OHUOBA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2012
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BAYLOR PLZ BCM610
HOUSTON TX
77030-3411
US

IV. Provider business mailing address

7373 ARDMORE ST APARTMENT 1353
HOUSTON TX
77054-4213
US

V. Phone/Fax

Practice location:
  • Phone: 832-826-7315
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberP7964
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: