MEDICARE: ALBERT OGUEJIOFOR MD

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	207R00000X	Internal Medicine Physician	K8396	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	K8396	OTHER	TX	TEXAS MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851340764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERT OGUEJIOFOR MD

Provider Business Mailing Address
First Line	:	1711 VILLA DEL LAGO DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4582
Country	:	US
Telephone Number	:	281-835-4676
Fax Number	:

Provider Business Practice Location Address
First Line	:	7737 BEECHNUT ST
Second Line	:	STE 200
City	:	HOUSTON
State	:	TX
Zip	:	77074-3101
Country	:	US
Telephone Number	:	713-777-6606
Fax Number	:	713-777-6686

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

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	03/07/2023

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