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General NPI Number Information
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NPI Number | 1174467021
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Entity Type | Organization
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Legal Business Name | KYVITRA HEALTH PLLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 3333 CALUMET ST
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City | HOUSTON
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State | TX
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Zip | 77004-7847
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Country | US
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Telephone | 832-622-5395
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Fax | 832-937-1442
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Provider Business Mailing Address
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Address Line | 3333 CALUMET ST
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City | HOUSTON
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State | TX
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Zip | 77004-7847
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Country | US
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Telephone | 832-622-5395
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Fax | 832-937-1442
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | OGADINMA OBIE
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Credential | MD
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Telephone | 832-643-0167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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