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General NPI Number Information
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NPI Number | 1245880426
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Entity Type | Organization
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Legal Business Name | IMPERIAL DIGESTIVE HEALTH SPECIALISTS PLLC
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Dates
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Enumeration Date | 09/19/2019
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 23920 KATY FWY STE 215
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City | KATY
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State | TX
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Zip | 77494-0881
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Country | US
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Telephone | 281-766-0331
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Fax | 281-665-7915
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Provider Business Mailing Address
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Address Line | 23920 KATY FWY STE 215
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City | KATY
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State | TX
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Zip | 77494-0881
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Country | US
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Telephone | 281-766-0331
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Fax | 281-665-7915
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Authorized Official
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Title or Position | OWNER
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Name | DR. OFORBUIKE EWELUKWA
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Credential | MD
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Telephone | 281-766-0331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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