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NPI Code Detail

MEDICARE: DR. CAROLINE NJERI MBOGUA MD

MEDICARE: DR. CAROLINE NJERI MBOGUA 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
1207R00000XInternal Medicine PhysicianJ0775TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22189244OTHERTXAETNA

General Provider Information

NPI Number : 1942221148
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLINE NJERI MBOGUA MD
Provider Business Mailing Address
First Line : 4545 POST OAK PLACE DR
Second Line : SUITE 130
City : HOUSTON
State : TX
Zip : 77027-3164
Country : US
Telephone Number : 713-960-8008
Fax Number : 713-960-0965
Provider Business Practice Location Address
First Line : 4545 POST OAK PLACE DR
Second Line : SUITE 130
City : HOUSTON
State : TX
Zip : 77027-3164
Country : US
Telephone Number : 713-960-8008
Fax Number : 713-960-0965
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2006
Last Update Date : 02/10/2026

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