Healthcare Provider Details

I. General information

NPI: 1225135213
Provider Name (Legal Business Name): MR. VINCENT OGADI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6610 HARWIN DR SUITE #118
HOUSTON TX
77036-2232
US

IV. Provider business mailing address

6610 HARWIN DR SUITE #118
HOUSTON TX
77036-2232
US

V. Phone/Fax

Practice location:
  • Phone: 713-532-4199
  • Fax: 713-532-4197
Mailing address:
  • Phone: 713-532-4199
  • Fax: 713-532-4197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0065088
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: