IDJAGBORO HEALTHCARE AND MEDICAL SERVICES INC (NPI# 1912061276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912061276 |
| Entity Type | Organization |
| Organization Name | IDJAGBORO HEALTHCARE AND MEDICAL SERVICES INC |
| Practice Address |
9999 W Montgomery Rd Suite B Houston TX 77088-3100 |
| Practice Telephone | 8325982571 |
| Practice Fax Number | 8325982572 |
| Mailing Telephone | 8325982571 |
| Mailing Fax Number | 8325982572 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2009-04-25 |
| Authorized Official Name | MR. DAMIAN OKPAKO IDJAGBORO (CEO) |
| Authorized Official Telephone | 9565361403 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
PA03357 | TX | Ambulatory Health Care Facilities |
| Street Address |
9999 W MONTGOMERY RD SUITE B |
| City | HOUSTON |
| State | TX |
| Zip Code | 77088-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508196254 | Cardiovascular Health Center of Texas LLC | Internal Medicine | 9999 W Montgomery Rd, Suite B, Houston, TX 77088-3100 | 2009-12-31 |
| 1548301252 | Acres Home Heart and Vascular Institute | Internal Medicine | 9999 W Montgomery Rd, Suite B, Houston, TX 77088-3100 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063999142 | Paula Livingston | Social Worker | 3806 Almington Ln., Houston, TX 77088 | 2018-07-23 |
| 1013464197 | Tatari Dental Associates Pllc | Dentist | 6915 Antoine Derive, Houston, TX 77088 | 2016-09-06 |
| 1376942136 | Rebecca Cole | Social Worker | 938 Conklin St, Houston, TX 77088 | 2014-08-18 |
| 1194025080 | P&r International LLC | Home Health | 8531 Wild Basin Dr, Houston, TX 77088 | 2010-10-26 |
| 1245540434 | Inwood Eye Care, Inc. | Optometrist | 7336 Antoine Dr., Houston, TX 77088 | 2010-10-21 |
| 1609197755 | Gods Grace Community Church | Clinic/Center | 9944 West Montgomery Rd, Houston, TX 77088 | 2010-06-11 |
| 1396073664 | Daphne Greer Jacob | Pharmacist | 9378 Veterans Memorial, Houston, TX 77088 | 2009-11-25 |
| 1427234228 | Sheryl Benaye Bell | Case Manager/Care Coordinator | 1821 Ferguson Way, Houston, TX 77088 | 2008-01-11 |
| 1598986804 | Doris Gooden | Pharmacist | 3939 Holder Forest Drive, Houston, TX 77088 | 2007-05-02 |
| 1144347766 | Achievement Medical Associates, Pa | Family Medicine | 8240 Antoine, Ste. #107, Houston, TX 77088 | 2007-03-26 |
| Find all providers in zip 77088 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1053953851 | Dthealth, Pllc | Clinic/Center | 13218 Bellaire Blvd, Houston, TX 77083 | 2019-10-13 |
| 1376197186 | Comprehensive Health Center | Clinic/Center | 9910 Long Point Rd, Houston, TX 77055-4116 | 2019-07-30 |
| 1255984639 | Evolution Health & Wellness | Clinic/Center | 12841 Jones Rd Ste 250, Houston, TX 77070-4526 | 2019-07-24 |
| 1215404942 | Stephens Family Healthcare Inc | Clinic/Center | 2912a Mangum Rd, Houston, TX 77092-7408 | 2018-10-31 |
| 1265913057 | Tmp413llc | Clinic/Center | 601 S Wayside Dr # B, Houston, TX 77011-4603 | 2018-08-28 |
| 1649786427 | Medical Care Innovation, P.C. | Clinic/Center | 1254 Enclave Parkway, Houston, TX 77077 | 2017-12-16 |
| 1902311251 | Ethics Family Clinic | Clinic/Center | 6405 Antoine Dr Ste 7, Houston, TX 77091-1233 | 2017-12-08 |
| Find all providers in HOUSTON | ||||
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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.