Provider Demographics
NPI:1013013978
Name:ORENGO, IDA FRANCESCA (MD)
Entity Type:Individual
Prefix:DR
First Name:IDA
Middle Name:FRANCESCA
Last Name:ORENGO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6620 MAIN ST STE 1425
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2342
Mailing Address - Country:US
Mailing Address - Phone:713-798-6925
Mailing Address - Fax:713-798-5535
Practice Address - Street 1:6620 MAIN ST STE 1425
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2342
Practice Address - Country:US
Practice Address - Phone:713-798-6925
Practice Address - Fax:713-798-5535
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3924207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX098916201Medicaid
TX83510FMedicare PIN