Healthcare Provider Details

I. General information

NPI: 1285728410
Provider Name (Legal Business Name): CHRISTIAN OGBEBOR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/15/2023
Certification Date: 09/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 WESTGREEN BLVD
KATY TX
77450-2799
US

IV. Provider business mailing address

19103 ANGLER COVE DR
CYPRESS TX
77433-3079
US

V. Phone/Fax

Practice location:
  • Phone: 281-578-4600
  • Fax:
Mailing address:
  • Phone: 713-834-2023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberN9926
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: