Provider Demographics
NPI:1710109285
Name:CIBA CORPORATION
Entity Type:Organization
Organization Name:CIBA CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AGHAEGBUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ODELUGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-773-1600
Mailing Address - Street 1:10028 BISSONNET STREET
Mailing Address - Street 2:#C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036
Mailing Address - Country:US
Mailing Address - Phone:713-773-1600
Mailing Address - Fax:713-773-1658
Practice Address - Street 1:10028 BISSONNET STREET
Practice Address - Street 2:#C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036
Practice Address - Country:US
Practice Address - Phone:713-773-1600
Practice Address - Fax:713-773-1658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0065944332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier