MEDICARE: OGADINMA IJEOMA OBIE M.D.

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
1	207P00000X	Emergency Medicine Physician	P2747	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1326272188	OTHER	TX	TRICARE SOUTH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8DF979	OTHER	TX	BCBS-TX

General Provider Information

NPI Number	:	1326272188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OGADINMA IJEOMA OBIE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 710578
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77271-0578
Country	:	US
Telephone Number	:	832-622-5395
Fax Number	:

Provider Business Practice Location Address
First Line	:	4141 SOUTHWEST FWY STE 470
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-7353
Country	:	US
Telephone Number	:	832-622-5395
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2009
Last Update Date	:	12/19/2025

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