Provider Demographics
NPI:1821390907
Name:NGENE, DAVID N
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:N
Last Name:NGENE
Suffix:
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 1:4302 IRON CASTLE DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5277
Mailing Address - Country:US
Mailing Address - Phone:832-488-7331
Mailing Address - Fax:
Practice Address - Street 1:10190 HARWIN DR
Practice Address - Street 2:STE C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-1606
Practice Address - Country:US
Practice Address - Phone:832-488-7331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-23
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207QA0505X207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine