Provider Demographics
NPI:1780842005
Name:OGIDI, PATRICK N SR
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:N
Last Name:OGIDI
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 TEXAS PKWY
Mailing Address - Street 2:226
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-4000
Mailing Address - Country:US
Mailing Address - Phone:281-403-4500
Mailing Address - Fax:281-403-1022
Practice Address - Street 1:2440 TEXAS PKWY
Practice Address - Street 2:226
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-4000
Practice Address - Country:US
Practice Address - Phone:281-403-4500
Practice Address - Fax:281-403-1022
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009301251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX009301OtherTEXAS DEPT. OF AGING & DISABILITY SERVICES
TX009301OtherTEXAS DEPT. OF AGING & DISABILITY SERVICES