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NPI Code Detail

MEDICARE: BAYOU HEALTHCARE PA

MEDICARE: BAYOU HEALTHCARE PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianTX
22081P2900XPain Medicine (Physical Medicine & Rehabilitation) PhysicianTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023138385
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAYOU HEALTHCARE PA
Provider Business Mailing Address
First Line : 11000 FONDREN RD
Second Line : BUILDING # A
City : HOUSTON
State : TX
Zip : 77096-5513
Country : US
Telephone Number : 713-271-2800
Fax Number : 713-271-6697
Provider Business Practice Location Address
First Line : 11000 FONDREN RD
Second Line : BUILDING # A
City : HOUSTON
State : TX
Zip : 77096-5513
Country : US
Telephone Number : 713-271-2800
Fax Number : 713-271-6697
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN CHIKE ANIGBOGU
Credential : M.D.
Telephone Number : 713-271-2800
Provider Enumeration Date : 03/30/2007
Last Update Date : 09/11/2025

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Directions to “BAYOU HEALTHCARE PA ” Practice Location

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