Provider Demographics
NPI:1154506269
Name:ARTHRITIS &LUPUS CLINIC OF HOUSTON, PA
Entity Type:Organization
Organization Name:ARTHRITIS &LUPUS CLINIC OF HOUSTON, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OBIANUJU
Authorized Official - Middle Name:C
Authorized Official - Last Name:OKEKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-790-7800
Mailing Address - Street 1:7500 BEECHNUT ST
Mailing Address - Street 2:SUITE 290
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074
Mailing Address - Country:US
Mailing Address - Phone:713-790-7800
Mailing Address - Fax:713-270-1501
Practice Address - Street 1:7500 BEECHNUT ST
Practice Address - Street 2:SUITE 290
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-4335
Practice Address - Country:US
Practice Address - Phone:713-790-7800
Practice Address - Fax:713-270-1501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1598207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00931ZMedicare PIN