Healthcare Provider Details

I. General information

NPI: 1366379547
Provider Name (Legal Business Name): KINGS PEDIATRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19020 W LAKE HOUSTON PKWY
HUMBLE TX
77346-5131
US

IV. Provider business mailing address

19020 W LAKE HOUSTON PKWY
HUMBLE TX
77346-5131
US

V. Phone/Fax

Practice location:
  • Phone: 281-356-0401
  • Fax:
Mailing address:
  • Phone: 281-356-0401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: KINGSLEY NWAOGU
Title or Position: OWNER
Credential: MD
Phone: 401-313-1076