Provider Demographics
NPI:1366625626
Name:OGOGOR, NKECHI (MD)
Entity Type:Individual
Prefix:
First Name:NKECHI
Middle Name:
Last Name:OGOGOR
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 1:5534 ROGERS RD
Mailing Address - Street 2:105
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251
Mailing Address - Country:US
Mailing Address - Phone:210-684-1000
Mailing Address - Fax:210-684-1003
Practice Address - Street 1:5534 ROGERS RD
Practice Address - Street 2:105
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251
Practice Address - Country:US
Practice Address - Phone:210-684-1000
Practice Address - Fax:210-684-1003
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-10
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6947207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX277792YQQ7Medicare PIN