Provider Demographics
NPI:1508958000
Name:ADROGUE, HORACIO ESTEBAN (MD)
Entity Type:Individual
Prefix:DR
First Name:HORACIO
Middle Name:ESTEBAN
Last Name:ADROGUE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5107 PALMETTO ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3331
Mailing Address - Country:US
Mailing Address - Phone:713-305-2957
Mailing Address - Fax:
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 2323
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-305-2957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5641207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX158129001Medicaid
TX158129004Medicaid
TX158129007OtherMEDICAID TPI
TX158129005Medicaid
TX1508958000OtherBLUE CROSS BLUE SHIELD
TXCI5830OtherRR PIN
TXCI5830OtherRR PIN
TXTXB142674Medicare PIN
TX1508958000OtherBLUE CROSS BLUE SHIELD
TX158129004Medicaid
TX8A6742Medicare PIN
TXCI5830OtherRR PIN
TX158129001Medicaid
TXTXB104607Medicare PIN