Provider Demographics
NPI:1689959397
Name:KANAYO UBESIE MD PA
Entity Type:Organization
Organization Name:KANAYO UBESIE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KANAYO
Authorized Official - Middle Name:
Authorized Official - Last Name:UBESIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-773-1700
Mailing Address - Street 1:7737 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 819
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1807
Mailing Address - Country:US
Mailing Address - Phone:713-773-1700
Mailing Address - Fax:832-200-2103
Practice Address - Street 1:7737 SOUTHWEST FWY
Practice Address - Street 2:SUITE 819
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1807
Practice Address - Country:US
Practice Address - Phone:713-773-1700
Practice Address - Fax:832-200-2103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6670207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty