Provider Demographics
NPI:1114703139
Name:KIDS GASTRO CENTER
Entity Type:Organization
Organization Name:KIDS GASTRO CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:AMAKA
Authorized Official - Middle Name:ANULI
Authorized Official - Last Name:AKALONU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-605-0227
Mailing Address - Street 1:8602 WOODS HOLLOW TRL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-2539
Mailing Address - Country:US
Mailing Address - Phone:832-605-0227
Mailing Address - Fax:
Practice Address - Street 1:218 W NASA PKWY # 1
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-5392
Practice Address - Country:US
Practice Address - Phone:832-605-0227
Practice Address - Fax:832-241-8984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric GastroenterologyGroup - Single Specialty