ABIB AGBETOBA (NPI# 1164656633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164656633 |
| Entity Type | Individual |
| Full Name | ABIB AGBETOBA |
| Credential | M.D. |
| Practice Address |
7900 Fannin St Ste 1800 Houston TX 77054-2934 |
| Mailing Address |
10740 N Gessner Rd Ste 310 Houston TX 77064-1240 |
| Practice Telephone | 7137919363 |
| Practice Fax Number | 7137950488 |
| Mailing Telephone | 2818970416 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2015-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | P9502 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
7900 FANNIN ST STE 1800 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77054-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526370 | Robert Glenn Anding | Obstetrics & Gynecology | 7900 Fannin St, Ste 4000, Houston, TX 77054-2934 | 2005-05-23 |
| 1164959631 | Complete Women's Care Center | Clinic/Center | 7900 Fannin St, Suite 3000, Houston, TX 77054-2934 | 2017-05-16 |
| 1164975579 | Bio Reference Laboratories, Inc. | Clinical Medical Laboratory | 7900 Fannin St, Houston, TX 77054-2934 | 2016-08-02 |
| 1346608023 | Ricardo Gonzalez | Nurse Anesthetist, Certified Registered | 7900 Fannin St, Suite1750, Houston, TX 77054-2934 | 2016-02-09 |
| 1295100931 | Annie Li | Clinical Nurse Specialist | 7900 Fannin St, Suite 4000, Houston, TX 77054-2934 | 2015-12-07 |
| 1922473081 | Meredith Rose Morriss | Nurse Practitioner | 7900 Fannin St, Suite 3000, Houston, TX 77054-2934 | 2015-12-01 |
| 1972976363 | Beilan Zhou | Obstetrics & Gynecology | 7900 Fannin St, Suite 3000, Houston, TX 77054-2934 | 2015-11-06 |
| 1205217593 | Surgical and Clinical Association of Texas Pllc | Colon & Rectal Surgery | 7900 Fannin St, Suite 1200, Houston, TX 77054-2934 | 2015-06-12 |
| 1952797698 | Rebecca Louise Tsusaki | Nurse Practitioner | 7900 Fannin St, Suite 4000, Houston, TX 77054-2934 | 2015-04-09 |
| 1780070474 | Rebecca Jo Helmreich | Nurse Practitioner | 7900 Fannin St, Houston, TX 77054-2934 | 2015-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006924 | Sphinx Pharmacy Group Webster Inc | Pharmacy | 2656 S Loop W Suite 275, Houston, TX 77054 | 2019-08-01 |
| 1164076618 | Pearland Unicare Pharmacy LLC | Pharmacy | 7400 Fannin Street Suite 120, Houson, TX 77054 | 2019-08-01 |
| 1144873092 | Megan Hoenig | Genetic Counselor, MS | 2525-a Holly Hall St., Suite 3c, Houston, TX 77054 | 2019-07-19 |
| 1043781701 | Lisa Vercellino Salazar | Nurse Practitioner | The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 | 2018-12-06 |
| 1619447257 | Karee Harris | Specialist/Technologist, Other | 7400 Fannin St Suite 850 Tx, Houston, TX 77054 | 2018-11-27 |
| 1245715374 | Van Hoai Thi Hoang | Pharmacist | 2525a Holly Hall, Houston, TX 77054 | 2018-09-25 |
| 1093294639 | Yolanda Williams-vasquez | Licensed Vocational Nurse | 3131 W Bellfort Ave, Houston, TX 77054 | 2018-08-13 |
| 1104304542 | Reji Mammen | Dentist | 2120 El Paseo St., Apt 2607, Houston, TX 77054 | 2018-07-28 |
| 1912484825 | Saeed Yazdianpour | Dentist | 7600 Cambridge St, Houston, TX 77054 | 2018-07-24 |
| 1811480742 | Dominik Andrzej Rudecki | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St, Suite 6510, Houston, TX 77054 | 2018-06-14 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937886 | Robert Harold Miller | Otolaryngology | 2616 Wroxton Rd, Houston, TX 77005-1312 | 2020-09-18 |
| 1194374843 | Yelda Jozaghi | Otolaryngology | 1515 Holcombe Blvd # 1445, Houston, TX 77030-4000 | 2019-09-05 |
| 1730568502 | Marcus Hershey | Otolaryngology | 4101 Greenbriar Dr Ste 320, Houston, TX 77098-5296 | 2015-05-26 |
| 1124431994 | Viran Jay Ranasinghe | Otolaryngology | 20207 Chasewood Park Dr Ste 100, Houston, TX 77070-1441 | 2014-06-09 |
| 1043635816 | Eduardo Manuel Diaz | Otolaryngology | 9870 Gaylord Dr Apt 1112, Houston, TX 77024-2672 | 2014-03-03 |
| 1073956074 | Jennifer Dang | Otolaryngology | 6550 Fannin St Ste 1727, Houston, TX 77030-2717 | 2013-04-10 |
| 1295094548 | Daniel Peter Fox | Otolaryngology | 18400 Katy Fwy Ste 470, Houston, TX 77094-1287 | 2012-05-07 |
| 1922373653 | Robert Nicholas Berezoski | Otolaryngology | 7123 Heron Dr, Houston, TX 77087-6723 | 2012-03-13 |
| 1659690493 | Bruce Edison | Otolaryngology | 12010 Cobblestone Dr, Houston, TX 77024-5054 | 2010-05-19 |
| 1033344387 | Kunal Sudhir Jain | Otolaryngology | 6400 Fannin St Ste 2700, Houston, TX 77030-1539 | 2009-05-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.