Provider Demographics
NPI:1073658233
Name:CUO PA
Entity Type:Organization
Organization Name:CUO PA
Other - Org Name:CEB MEDICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:U
Authorized Official - Last Name:OKONJI-AZUOGU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-496-5900
Mailing Address - Street 1:12121 RICHMOND AVE
Mailing Address - Street 2:SUITE 420
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2432
Mailing Address - Country:US
Mailing Address - Phone:281-496-5900
Mailing Address - Fax:281-496-5908
Practice Address - Street 1:12121 RICHMOND AVE
Practice Address - Street 2:SUITE 420
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2432
Practice Address - Country:US
Practice Address - Phone:281-496-5900
Practice Address - Fax:281-496-5908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7507207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1801821939OtherMY PERSONAL NPI NUMBER
TX1801821939OtherMY PERSONAL NPI NUMBER