Provider Demographics
NPI:1346588571
Name:BIOFYNE PLLC
Entity Type:Organization
Organization Name:BIOFYNE PLLC
Other - Org Name:BIORECOVERYPLUS ADDICTION GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OKECHUKWU
Authorized Official - Middle Name:
Authorized Official - Last Name:OBUA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-804-6463
Mailing Address - Street 1:6300 HILLCROFT ST
Mailing Address - Street 2:SUITE 260
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-3006
Mailing Address - Country:US
Mailing Address - Phone:832-804-6463
Mailing Address - Fax:832-804-6466
Practice Address - Street 1:6300 HILLCROFT ST
Practice Address - Street 2:SUITE 260
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-3006
Practice Address - Country:US
Practice Address - Phone:832-804-6463
Practice Address - Fax:832-804-6466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-23
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0920207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Single Specialty